HCPCS L3010
Foot, insert, removable, molded to patient model, longitudinal arch support, each
Current codeBelow Knee Orthotic24 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 | $205 – $225 | — | — |
| Deaconess Medical Center | $205 – $225 | — | — |
| Harborview Medical Center | $209 – $230 | $252 – $256 | $360 – $366 |
| Kadlec Regional Medical Center | $209 – $251 | — | — |
| Mary Bridge Children's Hospital | $205 – $225 | — | — |
| MultiCare Auburn Medical Center | $205 – $225 | — | — |
| MultiCare Covington Medical Center | $205 – $225 | — | — |
| MultiCare Good Samaritan Hospital | $205 – $225 | — | — |
| MultiCare Valley Hospital | $211 – $225 | — | — |
| Overlake Hospital Medical Center & Clinics | $209 – $217 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $209 – $251 | — | — |
| Providence Centralia Hospital | $209 – $334 | — | — |
| Providence Regional Medical Center Everett | $209 – $230 | — | — |
| Providence St Peter Hospital | $209 – $334 | — | — |
| Seattle Children's Hospital | — | $709 | $709 |
| Swedish Edmonds Hospital | $209 – $251 | — | — |
| Swedish Issaquah | $209 – $251 | — | — |
| Swedish Medical Center | $209 – $251 | — | — |
| Swedish Medical Center / Cherry Hill | $209 – $251 | — | — |
| Tacoma General Allenmore Hospital | $205 – $225 | — | — |
| University of Washington Medical Ctr | $209 – $230 | $357 | $510 |
| Virginia Mason Medical Center | $143 – $215 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $205 – $229 | — | — |
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)