HCPCS L2250
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment
Current codeBelow Knee Orthotic23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $469 – $3,640 | $278 | $694 |
| Deaconess Medical Center | $258 – $2,266 | $278 | $694 |
| Harborview Medical Center | $871 – $1,089 | $660 – $667 | $942 – $953 |
| Kadlec Regional Medical Center | $821 – $1,529 | — | — |
| Mary Bridge Children's Hospital | $448 – $3,996 | $278 | $694 |
| MultiCare Auburn Medical Center | $456 – $2,352 | $278 | $694 |
| MultiCare Covington Medical Center | $456 – $2,352 | $278 | $694 |
| MultiCare Good Samaritan Hospital | $456 – $2,352 | $278 | $694 |
| MultiCare Valley Hospital | $258 – $2,261 | $278 | $694 |
| Overlake Hospital Medical Center & Clinics | $499 – $1,498 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $843 – $1,806 | — | — |
| Providence Centralia Hospital | $920 – $2,036 | — | — |
| Providence Regional Medical Center Everett | $653 – $1,263 | — | — |
| Providence St Peter Hospital | $463 – $1,778 | — | — |
| Swedish Edmonds Hospital | $817 – $1,997 | — | — |
| Swedish Issaquah | $817 – $1,209 | — | — |
| Swedish Medical Center | $817 – $1,945 | — | — |
| Swedish Medical Center / Cherry Hill | $817 – $1,945 | — | — |
| Tacoma General Allenmore Hospital | $456 – $2,352 | $278 | $694 |
| University of Washington Medical Ctr | $871 – $1,707 | $886 | $1,266 |
| Virginia Mason Medical Center | $521 – $1,893 | $1,063 | $2,085 |
| Wellfound Behavioral Health Hospital | $1,374 | — | — |
| Yakima Valley Memorial | $469 – $1,412 | — | — |
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
- $544 (fee)
How hospitals also write this code
Some price files write it differently. These are counted as HCPCS L2250:
- 20L2250 (with a number in front; 13 price lines)