HCPCS L3020

Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each

Current codeBelow Knee Orthotic26 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L3020 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$233 – $2576 plans$121$303
Deaconess Medical CenterSpokaneFile dated 2026-08-27$233 – $2578 plans$121$303
EvergreenHealth Medical CenterKirkland$238 – $2465 plans$124 – $200$155 – $250
Harborview Medical CenterSeattleFile dated 2026-04-01$238 – $2625 plans$268 – $292$382 – $416
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$238 – $2867 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$233 – $2577 plans$121$303
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$233 – $2577 plans$121$303
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$233 – $2577 plans$121$303
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$233 – $2577 plans$121$303
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$240 – $2577 plans$121$303
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$654$817
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$238 – $2473 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$238 – $2867 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$238 – $3817 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$238 – $2626 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$238 – $3817 plans——
Seattle Children's HospitalSeattle—$117$117
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$238 – $2868 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$238 – $2868 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$238 – $2868 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$238 – $2868 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$233 – $2577 plans$121$303
University of Washington Medical CtrSeattleFile dated 2026-04-01$238 – $2625 plans$326 – $375$466 – $535
Virginia Mason Medical CenterSeattle$163 – $2459 plans$121 – $147$238 – $288
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$233 – $2618 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$238 (fee)