HCPCS L2630
Addition to lower extremity, pelvic control, band and belt, unilateral
Current code24 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 | $295 – $324 | $153 | $383 |
| Deaconess Medical Center | $295 – $324 | $153 | $383 |
| Harborview Medical Center | $301 – $331 | $368 | $526 |
| Kadlec Regional Medical Center | $301 – $361 | — | — |
| Mary Bridge Children's Hospital | $295 – $324 | $153 | $383 |
| MultiCare Auburn Medical Center | $295 – $324 | $153 | $383 |
| MultiCare Covington Medical Center | $295 – $324 | $153 | $383 |
| MultiCare Good Samaritan Hospital | $295 – $324 | $153 | $383 |
| MultiCare Valley Hospital | $303 – $324 | $153 | $383 |
| Overlake Hospital Medical Center & Clinics | $301 – $313 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $301 – $361 | — | — |
| Providence Centralia Hospital | $301 – $481 | — | — |
| Providence Regional Medical Center Everett | $301 – $331 | — | — |
| Providence St Peter Hospital | $301 – $481 | — | — |
| Seattle Children's Hospital | — | $1,048 | $1,048 |
| Swedish Edmonds Hospital | $301 – $361 | — | — |
| Swedish Issaquah | $301 – $361 | — | — |
| Swedish Medical Center | $301 – $361 | — | — |
| Swedish Medical Center / Cherry Hill | $301 – $361 | — | — |
| Tacoma General Allenmore Hospital | $295 – $324 | $153 | $383 |
| University of Washington Medical Ctr | $301 – $331 | $465 | $665 |
| Virginia Mason Medical Center | $206 – $309 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $295 – $330 | $153 | $383 |
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
- $301 (fee)