HCPCS L2830
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section
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 | $106 – $116 | $55.20 – $256 | $138 – $641 |
| Deaconess Medical Center | $106 – $116 | $55.20 – $256 | $138 – $641 |
| Harborview Medical Center | $108 – $119 | $132 – $132 | $188 – $189 |
| Kadlec Regional Medical Center | $108 – $130 | — | — |
| Mary Bridge Children's Hospital | $106 – $116 | $55.20 – $256 | $138 – $641 |
| MultiCare Auburn Medical Center | $106 – $116 | $55.20 – $256 | $138 – $641 |
| MultiCare Covington Medical Center | $106 – $116 | $55.20 – $256 | $138 – $641 |
| MultiCare Good Samaritan Hospital | $106 – $116 | $55.20 – $256 | $138 – $641 |
| MultiCare Valley Hospital | $109 – $116 | $55.20 – $256 | $138 – $641 |
| Overlake Hospital Medical Center & Clinics | $108 – $112 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $108 – $130 | — | — |
| Providence Centralia Hospital | $108 – $173 | — | — |
| Providence Regional Medical Center Everett | $108 – $119 | — | — |
| Providence St Peter Hospital | $108 – $173 | — | — |
| Seattle Children's Hospital | — | $407 | $407 |
| Swedish Edmonds Hospital | $108 – $130 | — | — |
| Swedish Issaquah | $108 – $130 | — | — |
| Swedish Medical Center | $108 – $130 | — | — |
| Swedish Medical Center / Cherry Hill | $108 – $130 | — | — |
| Tacoma General Allenmore Hospital | $106 – $116 | $55.20 – $256 | $138 – $641 |
| University of Washington Medical Ctr | $108 – $119 | $175 | $250 |
| Virginia Mason Medical Center | $74.09 – $111 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $106 – $119 | $167 | $417 |
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
- $108 (fee)