HCPCS L5722
Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control
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 | $1,119 – $8,682 | — | — |
| Deaconess Medical Center | $1,554 – $5,404 | — | — |
| Harborview Medical Center | $2,078 – $2,597 | $1,591 | $2,272 |
| Kadlec Regional Medical Center | $1,958 – $3,648 | — | — |
| Mary Bridge Children's Hospital | $1,119 – $9,530 | — | — |
| MultiCare Auburn Medical Center | $1,088 – $5,610 | — | — |
| MultiCare Covington Medical Center | $1,088 – $5,610 | — | — |
| MultiCare Good Samaritan Hospital | $1,262 – $5,610 | — | — |
| MultiCare Valley Hospital | $1,243 – $5,392 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,191 – $3,573 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,011 – $4,308 | — | — |
| Providence Centralia Hospital | $2,195 – $4,855 | — | — |
| Providence Regional Medical Center Everett | $1,558 – $3,013 | — | — |
| Providence St Peter Hospital | $1,104 – $4,240 | — | — |
| Seattle Children's Hospital | $1,968 – $3,499 | $3,645 | $3,645 |
| Swedish Edmonds Hospital | $1,948 – $4,763 | — | — |
| Swedish Issaquah | $1,948 – $2,883 | — | — |
| Swedish Medical Center | $1,948 – $4,638 | — | — |
| Swedish Medical Center / Cherry Hill | $1,948 – $4,638 | — | — |
| Tacoma General Allenmore Hospital | $1,088 – $5,610 | — | — |
| University of Washington Medical Ctr | $2,078 – $4,072 | — | — |
| Virginia Mason Medical Center | $1,243 – $4,516 | — | — |
| Wellfound Behavioral Health Hospital | $3,277 | — | — |
| Yakima Valley Memorial | $1,119 – $3,369 | — | — |
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
- $1,299 (fee)