HCPCS L5629
Addition to lower extremity, below knee, acrylic socket
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $198 | $496 |
| Deaconess Medical Center | — | $198 | $496 |
| Harborview Medical Center | — | $471 – $477 | $672 – $681 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $198 | $496 |
| MultiCare Auburn Medical Center | — | $198 | $496 |
| MultiCare Covington Medical Center | — | $198 | $496 |
| MultiCare Good Samaritan Hospital | — | $198 | $496 |
| MultiCare Valley Hospital | — | $198 | $496 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $296 – $374 | $1,152 | $1,152 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | $493 | $1,028 |
| Swedish Medical Center | — | $493 | $1,028 |
| Swedish Medical Center / Cherry Hill | — | $493 | $1,028 |
| Tacoma General Allenmore Hospital | — | $198 | $496 |
| University of Washington Medical Ctr | — | $601 | $858 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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
- $389 (fee)