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 | $381 – $419 | $198 | $496 |
| Deaconess Medical Center | $381 – $419 | $198 | $496 |
| Harborview Medical Center | $389 – $428 | $471 – $477 | $672 – $681 |
| Kadlec Regional Medical Center | $389 – $467 | — | — |
| Mary Bridge Children's Hospital | $381 – $419 | $198 | $496 |
| MultiCare Auburn Medical Center | $381 – $419 | $198 | $496 |
| MultiCare Covington Medical Center | $381 – $419 | $198 | $496 |
| MultiCare Good Samaritan Hospital | $381 – $419 | $198 | $496 |
| MultiCare Valley Hospital | $393 – $419 | $198 | $496 |
| Overlake Hospital Medical Center & Clinics | $389 – $405 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $389 – $467 | — | — |
| Providence Centralia Hospital | $389 – $623 | — | — |
| Providence Regional Medical Center Everett | $389 – $428 | — | — |
| Providence St Peter Hospital | $389 – $623 | — | — |
| Seattle Children's Hospital | — | $1,152 | $1,152 |
| Swedish Edmonds Hospital | $389 – $467 | — | — |
| Swedish Issaquah | $389 – $467 | $493 | $1,028 |
| Swedish Medical Center | $389 – $467 | $493 | $1,028 |
| Swedish Medical Center / Cherry Hill | $389 – $467 | $493 | $1,028 |
| Tacoma General Allenmore Hospital | $381 – $419 | $198 | $496 |
| University of Washington Medical Ctr | $389 – $428 | $601 | $858 |
| Virginia Mason Medical Center | $267 – $401 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $381 – $427 | — | — |
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)