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
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 | $135 – $148 | $70.00 | $175 |
| Deaconess Medical Center | $135 – $148 | $70.00 | $175 |
| Harborview Medical Center | $137 – $151 | $166 – $168 | $238 – $240 |
| Kadlec Regional Medical Center | $137 – $165 | — | — |
| Mary Bridge Children's Hospital | $135 – $148 | $70.00 | $175 |
| MultiCare Auburn Medical Center | $135 – $148 | $70.00 | $175 |
| MultiCare Covington Medical Center | $135 – $148 | $70.00 | $175 |
| MultiCare Good Samaritan Hospital | $135 – $148 | $70.00 | $175 |
| MultiCare Valley Hospital | $139 – $148 | $70.00 | $175 |
| Overlake Hospital Medical Center & Clinics | $137 – $143 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $137 – $165 | — | — |
| Providence Centralia Hospital | $137 – $220 | — | — |
| Providence Regional Medical Center Everett | $137 – $151 | — | — |
| Providence St Peter Hospital | $137 – $220 | — | — |
| Seattle Children's Hospital | — | $437 | $437 |
| Swedish Edmonds Hospital | $137 – $165 | — | — |
| Swedish Issaquah | $137 – $165 | — | — |
| Swedish Medical Center | $137 – $165 | — | — |
| Swedish Medical Center / Cherry Hill | $137 – $165 | — | — |
| Tacoma General Allenmore Hospital | $135 – $148 | $70.00 | $175 |
| University of Washington Medical Ctr | $137 – $151 | $234 | $334 |
| Virginia Mason Medical Center | $94.27 – $141 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $135 – $151 | — | — |
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)