HCPCS L5684
Addition to lower extremity, below knee, fork strap
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 | $77.00 – $84.70 | — | — |
| Deaconess Medical Center | $77.00 – $84.70 | — | — |
| Harborview Medical Center | $78.57 – $86.43 | $96.25 | $138 |
| Kadlec Regional Medical Center | $78.57 – $94.28 | — | — |
| Mary Bridge Children's Hospital | $77.00 – $84.70 | — | — |
| MultiCare Auburn Medical Center | $77.00 – $84.70 | — | — |
| MultiCare Covington Medical Center | $77.00 – $84.70 | — | — |
| MultiCare Good Samaritan Hospital | $77.00 – $84.70 | — | — |
| MultiCare Valley Hospital | $79.31 – $84.70 | — | — |
| Overlake Hospital Medical Center & Clinics | $78.57 – $81.71 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $78.57 – $94.28 | — | — |
| Providence Centralia Hospital | $78.57 – $126 | — | — |
| Providence Regional Medical Center Everett | $78.57 – $86.43 | — | — |
| Providence St Peter Hospital | $78.57 – $126 | — | — |
| Seattle Children's Hospital | — | $243 | $243 |
| Swedish Edmonds Hospital | $78.57 – $94.28 | — | — |
| Swedish Issaquah | $78.57 – $94.28 | $121 | $252 |
| Swedish Medical Center | $78.57 – $94.28 | $121 | $252 |
| Swedish Medical Center / Cherry Hill | $78.57 – $94.28 | $121 | $252 |
| Tacoma General Allenmore Hospital | $77.00 – $84.70 | — | — |
| University of Washington Medical Ctr | $78.57 – $86.43 | $130 | $185 |
| Virginia Mason Medical Center | $53.92 – $80.88 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $77.00 – $86.24 | — | — |
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
- $78.57 (fee)