HCPCS L5676
Additions to lower extremity, below knee, knee joints, single axis, pair
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 | $445 – $3,456 | — | — |
| Deaconess Medical Center | $619 – $2,151 | — | — |
| Harborview Medical Center | $827 – $1,034 | $618 – $633 | $883 – $904 |
| Kadlec Regional Medical Center | $779 – $1,452 | — | — |
| Mary Bridge Children's Hospital | $445 – $3,793 | — | — |
| MultiCare Auburn Medical Center | $433 – $2,233 | — | — |
| MultiCare Covington Medical Center | $433 – $2,233 | — | — |
| MultiCare Good Samaritan Hospital | $502 – $2,233 | — | — |
| MultiCare Valley Hospital | $495 – $2,146 | — | — |
| Overlake Hospital Medical Center & Clinics | $474 – $1,422 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $800 – $1,715 | — | — |
| Providence Centralia Hospital | $873 – $1,932 | — | — |
| Providence Regional Medical Center Everett | $620 – $1,199 | — | — |
| Providence St Peter Hospital | $439 – $1,687 | — | — |
| Seattle Children's Hospital | $785 – $1,396 | $1,454 | $1,454 |
| Swedish Edmonds Hospital | $775 – $1,896 | — | — |
| Swedish Issaquah | $775 – $1,147 | $685 | $1,428 |
| Swedish Medical Center | $775 – $1,846 | $685 | $1,428 |
| Swedish Medical Center / Cherry Hill | $775 – $1,846 | $685 | $1,428 |
| Tacoma General Allenmore Hospital | $433 – $2,233 | — | — |
| University of Washington Medical Ctr | $827 – $1,621 | $799 | $1,141 |
| Virginia Mason Medical Center | $495 – $1,797 | — | — |
| Wellfound Behavioral Health Hospital | $1,304 | — | — |
| Yakima Valley Memorial | $445 – $1,341 | — | — |
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
- $517 (fee)