HCPCS L5685
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each
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 | $157 – $167 | $78.40 | $196 |
| Deaconess Medical Center | $139 – $143 | $78.40 | $196 |
| Harborview Medical Center | — | $187 – $189 | $267 – $269 |
| Mary Bridge Children's Hospital | $128 – $157 | $78.40 | $196 |
| MultiCare Auburn Medical Center | $116 – $143 | $78.40 | $196 |
| MultiCare Covington Medical Center | $116 – $143 | $78.40 | $196 |
| MultiCare Good Samaritan Hospital | $116 – $143 | $78.40 | $196 |
| MultiCare Valley Hospital | $141 | $78.40 | $196 |
| Seattle Children's Hospital | $247 – $439 | $457 | $457 |
| Tacoma General Allenmore Hospital | $116 – $143 | $78.40 | $196 |
| University of Washington Medical Ctr | — | $239 | $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
- $154 (fee)