HCPCS L5671

Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS L5671 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$414$1,035
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$414$1,035
Harborview Medical CenterSeattleFile dated 2026-04-01—$981 – $995$1,401 – $1,421
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$414$1,035
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$414$1,035
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$414$1,035
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$414$1,035
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$414$1,035
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01———
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$590 – $74612 plans$2,294$2,294
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$987$2,057
Swedish Medical CenterSeattleFile dated 2026-04-01—$987$2,057
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$987$2,057
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$414$1,035
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,255$1,793
Virginia Mason Medical CenterSeattle———
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27———

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$812 (fee)