HCPCS L5690
Addition to lower extremity, below knee, waist belt, padded and lined
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 | $112 – $869 | — | — |
| Deaconess Medical Center | $156 – $541 | — | — |
| Harborview Medical Center | $208 – $260 | $157 – $159 | $224 – $227 |
| Kadlec Regional Medical Center | $196 – $365 | — | — |
| Mary Bridge Children's Hospital | $112 – $954 | — | — |
| MultiCare Auburn Medical Center | $109 – $561 | — | — |
| MultiCare Covington Medical Center | $109 – $561 | — | — |
| MultiCare Good Samaritan Hospital | $126 – $561 | — | — |
| MultiCare Valley Hospital | $124 – $540 | — | — |
| Overlake Hospital Medical Center & Clinics | $119 – $358 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $201 – $431 | — | — |
| Providence Centralia Hospital | $220 – $486 | — | — |
| Providence Regional Medical Center Everett | $156 – $301 | — | — |
| Providence St Peter Hospital | $110 – $424 | — | — |
| Seattle Children's Hospital | $252 – $448 | $467 | $467 |
| Swedish Edmonds Hospital | $195 – $477 | — | — |
| Swedish Issaquah | $195 – $288 | $172 | $359 |
| Swedish Medical Center | $195 – $464 | $172 | $359 |
| Swedish Medical Center / Cherry Hill | $195 – $464 | $172 | $359 |
| Tacoma General Allenmore Hospital | $109 – $561 | — | — |
| University of Washington Medical Ctr | $208 – $408 | $219 – $224 | $313 – $320 |
| Virginia Mason Medical Center | $124 – $452 | — | — |
| Wellfound Behavioral Health Hospital | $328 | — | — |
| Yakima Valley Memorial | $112 – $337 | — | — |
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
- $130 (fee)