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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $127 – $140 | — | — |
| Deaconess Medical Center | $127 – $140 | — | — |
| Harborview Medical Center | $130 – $143 | $157 – $159 | $224 – $227 |
| Kadlec Regional Medical Center | $130 – $156 | — | — |
| Mary Bridge Children's Hospital | $127 – $140 | — | — |
| MultiCare Auburn Medical Center | $127 – $140 | — | — |
| MultiCare Covington Medical Center | $127 – $140 | — | — |
| MultiCare Good Samaritan Hospital | $127 – $140 | — | — |
| MultiCare Valley Hospital | $131 – $140 | — | — |
| Overlake Hospital Medical Center & Clinics | $130 – $135 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $130 – $156 | — | — |
| Providence Centralia Hospital | $130 – $208 | — | — |
| Providence Regional Medical Center Everett | $130 – $143 | — | — |
| Providence St Peter Hospital | $130 – $208 | — | — |
| Seattle Children's Hospital | — | $467 | $467 |
| Swedish Edmonds Hospital | $130 – $156 | — | — |
| Swedish Issaquah | $130 – $156 | $172 | $359 |
| Swedish Medical Center | $130 – $156 | $172 | $359 |
| Swedish Medical Center / Cherry Hill | $130 – $156 | $172 | $359 |
| Tacoma General Allenmore Hospital | $127 – $140 | — | — |
| University of Washington Medical Ctr | $130 – $143 | $219 – $224 | $313 – $320 |
| Virginia Mason Medical Center | $89.17 – $134 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $127 – $143 | — | — |
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)