HCPCS L5962
Addition, endoskeletal system, below knee, flexible protective outer surface covering system
Current codeBelow Knee Orthotic24 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $489 | $1,223 |
| Deaconess Medical Center | — | $489 | $1,223 |
| Harborview Medical Center | — | $1,164 – $1,175 | $1,662 – $1,679 |
| Mary Bridge Children's Hospital | — | $489 | $1,223 |
| MultiCare Auburn Medical Center | — | $489 | $1,223 |
| MultiCare Covington Medical Center | — | $489 | $1,223 |
| MultiCare Good Samaritan Hospital | — | $489 | $1,223 |
| MultiCare Valley Hospital | — | $489 | $1,223 |
| Seattle Children's Hospital | $679 | $2,696 | $2,696 |
| Tacoma General Allenmore Hospital | — | $489 | $1,223 |
| University of Washington Medical Ctr | — | $1,483 | $2,119 |
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
- $959 (fee)