HCPCS L2220

Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L2220 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$95.82 – $74419 plans$56.80$142
Deaconess Medical CenterSpokaneFile dated 2026-08-27$52.75 – $46316 plans$56.80$142
Harborview Medical CenterSeattleFile dated 2026-04-01$178 – $2222 plans$135 – $136$192 – $195
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$168 – $3125 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$91.72 – $81618 plans$56.80$142
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$93.16 – $48020 plans$56.80$142
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$93.16 – $48020 plans$56.80$142
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$93.16 – $48020 plans$56.80$142
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$52.75 – $46216 plans$56.80$142
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$102 – $30610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$172 – $3699 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$188 – $4165 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$133 – $2587 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$94.53 – $3638 plans——
Seattle Children's HospitalSeattle$197 – $35098 plans$364$364
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$167 – $4087 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$167 – $2477 plans$147$307
Swedish Medical CenterSeattleFile dated 2026-04-01$167 – $3979 plans$147$307
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$167 – $3979 plans$147$307
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$93.16 – $48020 plans$56.80$142
University of Washington Medical CtrSeattleFile dated 2026-04-01$178 – $3495 plans$178$254
Virginia Mason Medical CenterSeattle$106 – $3877 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2811 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$95.82 – $28813 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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
$111 (fee)