HCPCS L5688

Addition to lower extremity, below knee, waist belt, webbing

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L5688 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$73.61 – $57116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$102 – $3569 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$137 – $1712 plans$105$150
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$129 – $2405 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$73.61 – $6277 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$71.57 – $36917 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$71.57 – $36917 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$83.05 – $36912 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$81.79 – $35510 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$78.35 – $23510 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$132 – $2839 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$144 – $3195 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$103 – $1987 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$72.62 – $2798 plans——
Seattle Children's HospitalSeattle$135 – $24098 plans$250$250
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$128 – $3137 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$128 – $1907 plans$113$236
Swedish Medical CenterSeattleFile dated 2026-04-01$128 – $3059 plans$113$236
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$128 – $3059 plans$113$236
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$71.57 – $36917 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$137 – $2685 plans$151$216
Virginia Mason Medical CenterSeattle$81.79 – $2977 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2161 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$73.61 – $22213 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$85.43 (fee)