HCPCS L5681
Addition to lower extremity, below knee/above knee, custom fabricated socket insert for congenital or atypical traumatic amputee, silicone gel, elastomeric or equal, for use with or without locking mechanism, initial only (for other than initial, use code l5673 or l5679)
Current codeBelow Knee Orthotic23 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 | $1,612 – $1,713 | $806 | $2,015 |
| Deaconess Medical Center | $1,431 – $1,471 | $806 | $2,015 |
| Harborview Medical Center | — | $1,906 – $1,937 | $2,723 – $2,767 |
| Mary Bridge Children's Hospital | $1,318 – $1,612 | $806 | $2,015 |
| MultiCare Auburn Medical Center | $1,189 – $1,471 | $806 | $2,015 |
| MultiCare Covington Medical Center | $1,189 – $1,471 | $806 | $2,015 |
| MultiCare Good Samaritan Hospital | $1,189 – $1,471 | $806 | $2,015 |
| MultiCare Valley Hospital | $1,451 | $806 | $2,015 |
| Tacoma General Allenmore Hospital | $1,189 – $1,471 | $806 | $2,015 |
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
- $1,581 (fee)