HCPCS L5668
Addition to lower extremity, below knee, molded distal cushion
Current codeBelow Knee Orthotic24 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 | $118 – $918 | $70.00 | $175 |
| Deaconess Medical Center | $65.01 – $572 | $70.00 | $175 |
| Harborview Medical Center | $220 – $275 | $166 – $168 | $238 – $240 |
| Kadlec Regional Medical Center | $207 – $386 | — | — |
| Mary Bridge Children's Hospital | $113 – $1,008 | $70.00 | $175 |
| MultiCare Auburn Medical Center | $115 – $593 | $70.00 | $175 |
| MultiCare Covington Medical Center | $115 – $593 | $70.00 | $175 |
| MultiCare Good Samaritan Hospital | $115 – $593 | $70.00 | $175 |
| MultiCare Valley Hospital | $65.01 – $570 | $70.00 | $175 |
| Overlake Hospital Medical Center & Clinics | $126 – $378 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $213 – $456 | — | — |
| Providence Centralia Hospital | $232 – $514 | — | — |
| Providence Regional Medical Center Everett | $165 – $319 | — | — |
| Providence St Peter Hospital | $117 – $448 | — | — |
| Seattle Children's Hospital | $236 – $419 | $437 | $437 |
| Swedish Edmonds Hospital | $206 – $504 | — | — |
| Swedish Issaquah | $206 – $305 | — | — |
| Swedish Medical Center | $206 – $491 | — | — |
| Swedish Medical Center / Cherry Hill | $206 – $491 | — | — |
| Tacoma General Allenmore Hospital | $115 – $593 | $70.00 | $175 |
| University of Washington Medical Ctr | $220 – $431 | $234 | $334 |
| Virginia Mason Medical Center | $132 – $478 | — | — |
| Wellfound Behavioral Health Hospital | $347 | — | — |
| Yakima Valley Memorial | $118 – $356 | — | — |
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
- $137 (fee)