HCPCS L3002
Foot, insert, removable, molded to patient model, plastazote or equal, each
Current codeBelow Knee Orthotic23 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 | $167 – $1,295 | — | — |
| Deaconess Medical Center | $232 – $806 | — | — |
| Harborview Medical Center | $310 – $387 | — | — |
| Kadlec Regional Medical Center | $292 – $544 | — | — |
| Mary Bridge Children's Hospital | $167 – $1,422 | — | — |
| MultiCare Auburn Medical Center | $162 – $837 | — | — |
| MultiCare Covington Medical Center | $162 – $837 | — | — |
| MultiCare Good Samaritan Hospital | $188 – $837 | — | — |
| MultiCare Valley Hospital | $185 – $804 | — | — |
| Overlake Hospital Medical Center & Clinics | $178 – $533 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $300 – $643 | — | — |
| Providence Centralia Hospital | $327 – $724 | — | — |
| Providence Regional Medical Center Everett | $232 – $449 | — | — |
| Providence St Peter Hospital | $165 – $633 | — | — |
| Swedish Edmonds Hospital | $291 – $711 | — | — |
| Swedish Issaquah | $291 – $430 | — | — |
| Swedish Medical Center | $291 – $692 | — | — |
| Swedish Medical Center / Cherry Hill | $291 – $692 | — | — |
| Tacoma General Allenmore Hospital | $162 – $837 | — | — |
| University of Washington Medical Ctr | $310 – $608 | — | — |
| Virginia Mason Medical Center | $185 – $674 | — | — |
| Wellfound Behavioral Health Hospital | $489 | — | — |
| Yakima Valley Memorial | $167 – $503 | — | — |
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
- $194 (fee)