HCPCS L5686
Addition to lower extremity, below knee, back check (extension control)
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 | $67.25 – $522 | — | — |
| Deaconess Medical Center | $93.40 – $325 | — | — |
| Harborview Medical Center | $125 – $156 | $95.60 | $137 |
| Kadlec Regional Medical Center | $118 – $219 | — | — |
| Mary Bridge Children's Hospital | $67.25 – $573 | — | — |
| MultiCare Auburn Medical Center | $65.38 – $337 | — | — |
| MultiCare Covington Medical Center | $65.38 – $337 | — | — |
| MultiCare Good Samaritan Hospital | $75.87 – $337 | — | — |
| MultiCare Valley Hospital | $74.72 – $324 | — | — |
| Overlake Hospital Medical Center & Clinics | $71.58 – $215 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $121 – $259 | — | — |
| Providence Centralia Hospital | $132 – $292 | — | — |
| Providence Regional Medical Center Everett | $93.65 – $181 | — | — |
| Providence St Peter Hospital | $66.33 – $255 | — | — |
| Seattle Children's Hospital | $124 – $220 | $229 | $229 |
| Swedish Edmonds Hospital | $117 – $286 | — | — |
| Swedish Issaquah | $117 – $173 | — | — |
| Swedish Medical Center | $117 – $279 | — | — |
| Swedish Medical Center / Cherry Hill | $117 – $279 | — | — |
| Tacoma General Allenmore Hospital | $65.38 – $337 | — | — |
| University of Washington Medical Ctr | $125 – $245 | $121 | $173 |
| Virginia Mason Medical Center | $74.72 – $271 | — | — |
| Wellfound Behavioral Health Hospital | $197 | — | — |
| Yakima Valley Memorial | $67.25 – $202 | — | — |
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
- $78.04 (fee)