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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $190 – $209 | — | — |
| Deaconess Medical Center | $190 – $209 | — | — |
| Harborview Medical Center | $194 – $213 | — | — |
| Kadlec Regional Medical Center | $194 – $232 | — | — |
| Mary Bridge Children's Hospital | $190 – $209 | — | — |
| MultiCare Auburn Medical Center | $190 – $209 | — | — |
| MultiCare Covington Medical Center | $190 – $209 | — | — |
| MultiCare Good Samaritan Hospital | $190 – $209 | — | — |
| MultiCare Valley Hospital | $196 – $209 | — | — |
| Overlake Hospital Medical Center & Clinics | $194 – $201 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $194 – $232 | — | — |
| Providence Centralia Hospital | $194 – $310 | — | — |
| Providence Regional Medical Center Everett | $194 – $213 | — | — |
| Providence St Peter Hospital | $194 – $310 | — | — |
| Swedish Edmonds Hospital | $194 – $232 | — | — |
| Swedish Issaquah | $194 – $232 | — | — |
| Swedish Medical Center | $194 – $232 | — | — |
| Swedish Medical Center / Cherry Hill | $194 – $232 | — | — |
| Tacoma General Allenmore Hospital | $190 – $209 | — | — |
| University of Washington Medical Ctr | $194 – $213 | — | — |
| Virginia Mason Medical Center | $133 – $199 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $190 – $213 | — | — |
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)