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Every billing code / Equipment and supplies / Orthotic Devices

HCPCS L5679

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Unknown: The source file doesn't say which population this rate applies to.

HospitalUnknown rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$372$931
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$372$931
Harborview Medical CenterSeattleFile dated 2026-04-01—$887 – $895$1,267 – $1,279
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$372$931
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$372$931
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$372$931
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$372$931
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$372$931
Seattle Children's HospitalSeattle$452 – $2,0325 plans$1,793 – $2,258$1,793 – $2,258
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$372$931
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,130$1,615

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$731 (fee)