HCPCS L5695
Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each
Current code24 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 | $172 – $1,335 | — | — |
| Deaconess Medical Center | $239 – $831 | — | — |
| Harborview Medical Center | $319 – $399 | $245 | $349 – $349 |
| Kadlec Regional Medical Center | $301 – $561 | — | — |
| Mary Bridge Children's Hospital | $172 – $1,465 | — | — |
| MultiCare Auburn Medical Center | $167 – $863 | — | — |
| MultiCare Covington Medical Center | $167 – $863 | — | — |
| MultiCare Good Samaritan Hospital | $194 – $863 | — | — |
| MultiCare Valley Hospital | $191 – $829 | — | — |
| Overlake Hospital Medical Center & Clinics | $183 – $549 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $309 – $662 | — | — |
| Providence Centralia Hospital | $337 – $746 | — | — |
| Providence Regional Medical Center Everett | $240 – $463 | — | — |
| Providence St Peter Hospital | $170 – $652 | — | — |
| Seattle Children's Hospital | $305 – $542 | $565 | $565 |
| Swedish Edmonds Hospital | $299 – $732 | — | — |
| Swedish Issaquah | $299 – $443 | — | — |
| Swedish Medical Center | $299 – $713 | — | — |
| Swedish Medical Center / Cherry Hill | $299 – $713 | — | — |
| Tacoma General Allenmore Hospital | $167 – $863 | — | — |
| University of Washington Medical Ctr | $319 – $626 | $363 | $518 |
| Virginia Mason Medical Center | $191 – $694 | — | — |
| Wellfound Behavioral Health Hospital | $504 | — | — |
| Yakima Valley Memorial | $172 – $518 | — | — |
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
- $200 (fee)