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
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 | $196 – $215 | — | — |
| Deaconess Medical Center | $196 – $215 | — | — |
| Harborview Medical Center | $200 – $220 | $245 | $349 – $349 |
| Kadlec Regional Medical Center | $200 – $240 | — | — |
| Mary Bridge Children's Hospital | $196 – $215 | — | — |
| MultiCare Auburn Medical Center | $196 – $215 | — | — |
| MultiCare Covington Medical Center | $196 – $215 | — | — |
| MultiCare Good Samaritan Hospital | $196 – $215 | — | — |
| MultiCare Valley Hospital | $202 – $215 | — | — |
| Overlake Hospital Medical Center & Clinics | $200 – $208 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $200 – $240 | — | — |
| Providence Centralia Hospital | $200 – $319 | — | — |
| Providence Regional Medical Center Everett | $200 – $220 | — | — |
| Providence St Peter Hospital | $200 – $319 | — | — |
| Seattle Children's Hospital | — | $565 | $565 |
| Swedish Edmonds Hospital | $200 – $240 | — | — |
| Swedish Issaquah | $200 – $240 | — | — |
| Swedish Medical Center | $200 – $240 | — | — |
| Swedish Medical Center / Cherry Hill | $200 – $240 | — | — |
| Tacoma General Allenmore Hospital | $196 – $215 | — | — |
| University of Washington Medical Ctr | $200 – $220 | $363 | $518 |
| Virginia Mason Medical Center | $137 – $206 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $196 – $219 | — | — |
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)