HCPCS L5639
Addition to lower extremity, below knee, wood socket
Current codeBelow Knee Orthotic23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,333 – $10,344 | — | — |
| Deaconess Medical Center | $1,851 – $6,439 | — | — |
| Harborview Medical Center | $2,475 – $3,094 | $1,895 | $2,707 |
| Kadlec Regional Medical Center | $2,333 – $4,346 | — | — |
| Mary Bridge Children's Hospital | $1,333 – $11,354 | — | — |
| MultiCare Auburn Medical Center | $1,296 – $6,684 | — | — |
| MultiCare Covington Medical Center | $1,296 – $6,684 | — | — |
| MultiCare Good Samaritan Hospital | $1,504 – $6,684 | — | — |
| MultiCare Valley Hospital | $1,481 – $6,424 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,419 – $4,256 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,396 – $5,132 | — | — |
| Providence Centralia Hospital | $2,614 – $5,784 | — | — |
| Providence Regional Medical Center Everett | $1,856 – $3,589 | — | — |
| Providence St Peter Hospital | $1,315 – $5,051 | — | — |
| Swedish Edmonds Hospital | $2,321 – $5,675 | — | — |
| Swedish Issaquah | $2,321 – $3,434 | — | — |
| Swedish Medical Center | $2,321 – $5,526 | — | — |
| Swedish Medical Center / Cherry Hill | $2,321 – $5,526 | — | — |
| Tacoma General Allenmore Hospital | $1,296 – $6,684 | — | — |
| University of Washington Medical Ctr | $2,475 – $4,852 | — | — |
| Virginia Mason Medical Center | $1,481 – $5,380 | — | — |
| Wellfound Behavioral Health Hospital | $3,904 | — | — |
| Yakima Valley Memorial | $1,333 – $4,013 | — | — |
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
- $1,547 (fee)