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 | $133 – $1,029 | $78.40 | $196 |
| Deaconess Medical Center | $72.81 – $641 | $78.40 | $196 |
| Harborview Medical Center | $246 – $308 | $187 – $189 | $267 – $269 |
| Kadlec Regional Medical Center | $232 – $432 | — | — |
| Mary Bridge Children's Hospital | $127 – $1,130 | $78.40 | $196 |
| MultiCare Auburn Medical Center | $129 – $665 | $78.40 | $196 |
| MultiCare Covington Medical Center | $129 – $665 | $78.40 | $196 |
| MultiCare Good Samaritan Hospital | $129 – $665 | $78.40 | $196 |
| MultiCare Valley Hospital | $72.81 – $639 | $78.40 | $196 |
| Overlake Hospital Medical Center & Clinics | $141 – $424 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $238 – $511 | — | — |
| Providence Centralia Hospital | $260 – $576 | — | — |
| Providence Regional Medical Center Everett | $185 – $357 | — | — |
| Providence St Peter Hospital | $131 – $503 | — | — |
| Seattle Children's Hospital | $247 – $439 | $457 | $457 |
| Swedish Edmonds Hospital | $231 – $565 | — | — |
| Swedish Issaquah | $231 – $342 | — | — |
| Swedish Medical Center | $231 – $550 | — | — |
| Swedish Medical Center / Cherry Hill | $231 – $550 | — | — |
| Tacoma General Allenmore Hospital | $129 – $665 | $78.40 | $196 |
| University of Washington Medical Ctr | $246 – $483 | $239 | $341 |
| Virginia Mason Medical Center | $147 – $535 | — | — |
| Wellfound Behavioral Health Hospital | $388 | — | — |
| Yakima Valley Memorial | $133 – $399 | — | — |
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)