HCPCS L2210

Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint

Current codeBelow Knee Orthotic23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L2210 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$41.20$103
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$41.20$103
Harborview Medical CenterSeattleFile dated 2026-04-01—$98.75 – $99.19$141 – $142
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$41.20$103
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$41.20$103
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$41.20$103
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$41.20$103
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$41.20$103
Swedish IssaquahIssaquahFile dated 2026-04-01—$22.08$46.00
Swedish Medical CenterSeattleFile dated 2026-04-01—$22.08$46.00
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$22.08$46.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$41.20$103
University of Washington Medical CtrSeattleFile dated 2026-04-01—$156$223

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$80.97 (fee)