HCPCS L4397
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf
Current codeBelow Knee Orthotic31 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $421 | $1,052 |
| Deaconess Medical Center | — | $421 | $1,052 |
| Harborview Medical Center | — | $171 – $173 | $244 – $247 |
| Highline Medical Center | — | $65.83 | $216 |
| Mary Bridge Children's Hospital | — | $421 | $1,052 |
| MultiCare Auburn Medical Center | — | $421 | $1,052 |
| MultiCare Covington Medical Center | — | $421 | $1,052 |
| MultiCare Good Samaritan Hospital | — | $421 | $1,052 |
| MultiCare Valley Hospital | — | $421 | $1,052 |
| Seattle Children's Hospital | $143 | $348 | $348 |
| St Anthony Hospital | — | $65.57 | $216 |
| St Clare Hospital | — | $62.14 | $216 |
| St Elizabeth Hospital | — | $76.18 | $216 |
| St Francis Community Hospital | — | $67.66 | $216 |
| St Joseph Medical Center | — | $71.40 | $216 |
| St Michael Medical Center | — | $95.15 | $216 |
| Swedish Issaquah | — | $263 – $350 | $547 – $729 |
| Swedish Medical Center | — | $263 – $350 | $547 – $729 |
| Swedish Medical Center / Cherry Hill | — | $263 – $350 | $547 – $729 |
| Tacoma General Allenmore Hospital | — | $421 | $1,052 |
| University of Washington Medical Ctr | — | $169 | $241 |
| Yakima Valley Memorial | — | $283 | $707 |
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
- $198 (fee)