HCPCS L2275

Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined

Current codeBelow Knee Orthotic24 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 L2275 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$176 – $1946 plans$91.60$229
Deaconess Medical CenterSpokaneFile dated 2026-08-27$176 – $1948 plans$91.60$229
Harborview Medical CenterSeattleFile dated 2026-04-01$180 – $1985 plans$217 – $220$310 – $315
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$180 – $2167 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$176 – $1947 plans$91.60$229
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$176 – $1947 plans$91.60$229
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$176 – $1947 plans$91.60$229
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$176 – $1947 plans$91.60$229
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$181 – $1947 plans$91.60$229
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$180 – $1873 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$180 – $2167 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$180 – $2887 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$180 – $1986 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$180 – $2887 plans——
Seattle Children's HospitalSeattle—$635$635
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$180 – $2168 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$180 – $2168 plans$239$497
Swedish Medical CenterSeattleFile dated 2026-04-01$180 – $2168 plans$239$497
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$180 – $2168 plans$239$497
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$176 – $1947 plans$91.60$229
University of Washington Medical CtrSeattleFile dated 2026-04-01$180 – $1985 plans$311$444
Virginia Mason Medical CenterSeattle$123 – $1859 plans$351$689
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$176 – $1978 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
$180 (fee)

How hospitals also write this code

Some price files write it differently. These are counted as HCPCS L2275:

  • 20L2275 (with a number in front; 13 price lines)