HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee ankle foot orthosis, each joint

Current codeKnee Orthosis23 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 L2387 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$201 – $1,56019 plans$116$290
Deaconess Medical CenterSpokaneFile dated 2026-08-27$108 – $97116 plans$116$290
Harborview Medical CenterSeattleFile dated 2026-04-01$373 – $4672 plans$279 – $286$399 – $408
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$352 – $6565 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$187 – $1,71318 plans$116$290
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$196 – $1,00820 plans$116$290
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$196 – $1,00820 plans$116$290
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$196 – $1,00820 plans$116$290
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$108 – $96916 plans$116$290
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$214 – $64210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$361 – $7749 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$394 – $8735 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$280 – $5417 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$198 – $7628 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$350 – $8567 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$350 – $5187 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$350 – $8349 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$350 – $8349 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$196 – $1,00820 plans$116$290
University of Washington Medical CtrSeattleFile dated 2026-04-01$373 – $7325 plans——
Virginia Mason Medical CenterSeattle$223 – $8127 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5891 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$146 – $60519 plans$119$297

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
$233 (fee)