HCPCS L5987
All lower extremity prosthesis, shank foot system with vertical loading pylon
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 | — | $4,408 | $11,019 |
| Deaconess Medical Center | — | $4,408 | $11,019 |
| Harborview Medical Center | — | $10,467 – $10,591 | $14,953 – $15,130 |
| Mary Bridge Children's Hospital | — | $4,408 | $11,019 |
| MultiCare Auburn Medical Center | — | $4,408 | $11,019 |
| MultiCare Covington Medical Center | — | $4,408 | $11,019 |
| MultiCare Good Samaritan Hospital | — | $4,408 | $11,019 |
| MultiCare Valley Hospital | — | $4,408 | $11,019 |
| Seattle Children's Hospital | $2,891 | $11,472 | $11,472 |
| Tacoma General Allenmore Hospital | — | $4,408 | $11,019 |
| University of Washington Medical Ctr | — | $13,361 | $19,087 |
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
- $8,646 (fee)