HCPCS L2820

Addition to lower extremity orthosis, soft interface for molded plastic, below knee section

Current codeBelow Knee Orthotic28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS L2820 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$50.80$127
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$50.80$127
Harborview Medical CenterSeattleFile dated 2026-04-01—$121 – $122$173 – $175
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$206$294
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$50.80$127
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$50.80$127
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$50.80$127
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$50.80$127
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$50.80$127
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$289$413
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$306$589
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$289$413
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$274$391
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$339$652
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$274$391
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$238$340
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$306$589
Seattle Children's HospitalSeattle$1251 plan$497$497
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$210$437
Swedish IssaquahIssaquahFile dated 2026-04-01—$132 – $210$276 – $437
Swedish Medical CenterSeattleFile dated 2026-04-01—$132 – $210$276 – $437
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$132 – $210$276 – $437
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$50.80$127
University of Washington Medical CtrSeattleFile dated 2026-04-01—$171$245
Virginia Mason Medical CenterSeattle—$195$383
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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
$99.79 (fee)

How hospitals also write this code

Some price files write it differently. These are counted as HCPCS L2820:

  • 20L2820 (with a number in front; 13 price lines)