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
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 | $387 – $426 | — | — |
| Deaconess Medical Center | $387 – $426 | — | — |
| Harborview Medical Center | $395 – $435 | $484 | $691 |
| Kadlec Regional Medical Center | $395 – $474 | — | — |
| Mary Bridge Children's Hospital | $387 – $426 | — | — |
| MultiCare Auburn Medical Center | $387 – $426 | — | — |
| MultiCare Covington Medical Center | $387 – $426 | — | — |
| MultiCare Good Samaritan Hospital | $387 – $426 | — | — |
| MultiCare Valley Hospital | $399 – $426 | — | — |
| Overlake Hospital Medical Center & Clinics | $395 – $411 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $395 – $474 | — | — |
| Providence Centralia Hospital | $395 – $632 | — | — |
| Providence Regional Medical Center Everett | $395 – $435 | — | — |
| Providence St Peter Hospital | $395 – $632 | — | — |
| Seattle Children's Hospital | — | $1,211 | $1,211 |
| Swedish Edmonds Hospital | $395 – $474 | — | — |
| Swedish Issaquah | $395 – $474 | — | — |
| Swedish Medical Center | $395 – $474 | — | — |
| Swedish Medical Center / Cherry Hill | $395 – $474 | — | — |
| Tacoma General Allenmore Hospital | $387 – $426 | — | — |
| University of Washington Medical Ctr | $395 – $435 | $613 | $875 |
| Virginia Mason Medical Center | $271 – $407 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $387 – $434 | — | — |
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)