HCPCS L3003
Foot, insert, removable, molded to patient model, silicone gel, 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 | $180 – $1,398 | — | — |
| Deaconess Medical Center | $250 – $870 | — | — |
| Harborview Medical Center | $334 – $418 | — | — |
| Kadlec Regional Medical Center | $315 – $587 | — | — |
| Mary Bridge Children's Hospital | $180 – $1,534 | — | — |
| MultiCare Auburn Medical Center | $175 – $903 | — | — |
| MultiCare Covington Medical Center | $175 – $903 | — | — |
| MultiCare Good Samaritan Hospital | $203 – $903 | — | — |
| MultiCare Valley Hospital | $200 – $868 | — | — |
| Overlake Hospital Medical Center & Clinics | $192 – $575 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $324 – $693 | — | — |
| Providence Centralia Hospital | $353 – $782 | — | — |
| Providence Regional Medical Center Everett | $251 – $485 | — | — |
| Providence St Peter Hospital | $178 – $683 | — | — |
| Swedish Edmonds Hospital | $314 – $767 | — | — |
| Swedish Issaquah | $314 – $464 | — | — |
| Swedish Medical Center | $314 – $747 | — | — |
| Swedish Medical Center / Cherry Hill | $314 – $747 | — | — |
| Tacoma General Allenmore Hospital | $175 – $903 | — | — |
| University of Washington Medical Ctr | $334 – $656 | — | — |
| Virginia Mason Medical Center | $200 – $727 | — | — |
| Wellfound Behavioral Health Hospital | $528 | — | — |
| Yakima Valley Memorial | $180 – $542 | — | — |
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
- $209 (fee)