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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $534 – $587 | $278 | $694 |
| Deaconess Medical Center | $534 – $587 | $278 | $694 |
| Harborview Medical Center | $544 – $599 | $660 – $667 | $942 – $953 |
| Kadlec Regional Medical Center | $544 – $653 | — | — |
| Mary Bridge Children's Hospital | $534 – $587 | $278 | $694 |
| MultiCare Auburn Medical Center | $534 – $587 | $278 | $694 |
| MultiCare Covington Medical Center | $534 – $587 | $278 | $694 |
| MultiCare Good Samaritan Hospital | $534 – $587 | $278 | $694 |
| MultiCare Valley Hospital | $550 – $587 | $278 | $694 |
| Overlake Hospital Medical Center & Clinics | $544 – $566 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $544 – $653 | — | — |
| Providence Centralia Hospital | $544 – $871 | — | — |
| Providence Regional Medical Center Everett | $544 – $599 | — | — |
| Providence St Peter Hospital | $544 – $871 | — | — |
| Swedish Edmonds Hospital | $544 – $653 | — | — |
| Swedish Issaquah | $544 – $653 | — | — |
| Swedish Medical Center | $544 – $653 | — | — |
| Swedish Medical Center / Cherry Hill | $544 – $653 | — | — |
| Tacoma General Allenmore Hospital | $534 – $587 | $278 | $694 |
| University of Washington Medical Ctr | $544 – $599 | $886 | $1,266 |
| Virginia Mason Medical Center | $374 – $560 | $1,063 | $2,085 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $534 – $598 | — | — |
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)