HCPCS A5512
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
Current codeBelow Knee Orthotic12 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 | $31.85 – $216 | — | — |
| Deaconess Medical Center | $44.24 – $55.18 | — | — |
| Harborview Medical Center | — | $45.28 | $64.68 |
| Mary Bridge Children's Hospital | $31.85 – $77.86 | — | — |
| MultiCare Auburn Medical Center | $30.97 – $77.86 | — | — |
| MultiCare Covington Medical Center | $30.97 – $77.86 | — | — |
| MultiCare Good Samaritan Hospital | $42.04 – $77.86 | — | — |
| MultiCare Valley Hospital | $35.39 – $55.18 | — | — |
| Overlake Hospital Medical Center & Clinics | $72.48 – $91.42 | — | — |
| Tacoma General Allenmore Hospital | $30.97 – $77.86 | — | — |
| Virginia Mason Medical Center | $113 – $129 | — | — |
| Yakima Valley Memorial | $31.85 – $54.85 | — | — |
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
- $36.96 (fee)