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Every billing code / Equipment and supplies / Orthotic Devices

HCPCS L4631

Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated

Current codeBelow Knee Orthotic23 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.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,871 – $1,9882 plans$936$2,339
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,661 – $1,7072 plans$936$2,339
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,204 – $2,248$3,148 – $3,211
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,530 – $1,8716 plans$936$2,339
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,380 – $1,7073 plans$936$2,339
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,380 – $1,7073 plans$936$2,339
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,380 – $1,7073 plans$936$2,339
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,6842 plans$936$2,339
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,380 – $1,7073 plans$936$2,339
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,733$3,904
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,3101 plan$936$2,339

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$1,835 (fee)