HCPCS L5629
Addition to lower extremity, below knee, acrylic socket
Current codeBelow Knee Orthotic24 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 | — | $198 | $496 |
| Deaconess Medical Center | — | $198 | $496 |
| Harborview Medical Center | — | $471 – $477 | $672 – $681 |
| 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 |
| Seattle Children's Hospital | — | $1,152 | $1,152 |
| 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 |
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)