HCPCS L5672
Addition to lower extremity, below knee, removable medial brim suspension
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 | $340 – $2,641 | — | — |
| Deaconess Medical Center | $473 – $1,644 | — | — |
| Harborview Medical Center | $632 – $790 | $484 | $691 |
| Kadlec Regional Medical Center | $596 – $1,110 | — | — |
| Mary Bridge Children's Hospital | $340 – $2,899 | — | — |
| MultiCare Auburn Medical Center | $331 – $1,707 | — | — |
| MultiCare Covington Medical Center | $331 – $1,707 | — | — |
| MultiCare Good Samaritan Hospital | $384 – $1,707 | — | — |
| MultiCare Valley Hospital | $378 – $1,640 | — | — |
| Overlake Hospital Medical Center & Clinics | $362 – $1,087 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $612 – $1,311 | — | — |
| Providence Centralia Hospital | $668 – $1,477 | — | — |
| Providence Regional Medical Center Everett | $474 – $917 | — | — |
| Providence St Peter Hospital | $336 – $1,290 | — | — |
| Seattle Children's Hospital | $654 – $1,163 | $1,211 | $1,211 |
| Swedish Edmonds Hospital | $593 – $1,449 | — | — |
| Swedish Issaquah | $593 – $877 | — | — |
| Swedish Medical Center | $593 – $1,411 | — | — |
| Swedish Medical Center / Cherry Hill | $593 – $1,411 | — | — |
| Tacoma General Allenmore Hospital | $331 – $1,707 | — | — |
| University of Washington Medical Ctr | $632 – $1,239 | $613 | $875 |
| Virginia Mason Medical Center | $378 – $1,374 | — | — |
| Wellfound Behavioral Health Hospital | $997 | — | — |
| Yakima Valley Memorial | $340 – $1,025 | — | — |
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
- $395 (fee)