HCPCS L5637
Addition to lower extremity, below knee, total contact
Current codeBelow Knee Orthotic25 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 | — | $186 | $465 |
| Deaconess Medical Center | — | $186 | $465 |
| EvergreenHealth Medical Center | — | $892 | $1,115 |
| Harborview Medical Center | — | $441 – $446 | $631 – $638 |
| Mary Bridge Children's Hospital | — | $186 | $465 |
| MultiCare Auburn Medical Center | — | $186 | $465 |
| MultiCare Covington Medical Center | — | $186 | $465 |
| MultiCare Good Samaritan Hospital | — | $186 | $465 |
| MultiCare Valley Hospital | — | $186 | $465 |
| Seattle Children's Hospital | $284 – $359 | $1,104 | $1,104 |
| Swedish Issaquah | — | $483 | $1,007 |
| Swedish Medical Center | — | $483 | $1,007 |
| Swedish Medical Center / Cherry Hill | — | $483 | $1,007 |
| Tacoma General Allenmore Hospital | — | $186 | $465 |
| University of Washington Medical Ctr | — | $691 | $986 |
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
- $364 (fee)