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
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 | $506 – $557 | — | — |
| Deaconess Medical Center | $506 – $557 | — | — |
| Harborview Medical Center | $517 – $569 | $618 – $633 | $883 – $904 |
| Kadlec Regional Medical Center | $517 – $620 | — | — |
| Mary Bridge Children's Hospital | $506 – $557 | — | — |
| MultiCare Auburn Medical Center | $506 – $557 | — | — |
| MultiCare Covington Medical Center | $506 – $557 | — | — |
| MultiCare Good Samaritan Hospital | $506 – $557 | — | — |
| MultiCare Valley Hospital | $522 – $557 | — | — |
| Overlake Hospital Medical Center & Clinics | $517 – $537 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $517 – $620 | — | — |
| Providence Centralia Hospital | $517 – $827 | — | — |
| Providence Regional Medical Center Everett | $517 – $569 | — | — |
| Providence St Peter Hospital | $517 – $827 | — | — |
| Seattle Children's Hospital | — | $1,454 | $1,454 |
| Swedish Edmonds Hospital | $517 – $620 | — | — |
| Swedish Issaquah | $517 – $620 | $685 | $1,428 |
| Swedish Medical Center | $517 – $620 | $685 | $1,428 |
| Swedish Medical Center / Cherry Hill | $517 – $620 | $685 | $1,428 |
| Tacoma General Allenmore Hospital | $506 – $557 | — | — |
| University of Washington Medical Ctr | $517 – $569 | $799 | $1,141 |
| Virginia Mason Medical Center | $355 – $532 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $506 – $567 | — | — |
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)