HCPCS L3020
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each
Current codeBelow Knee Orthotic26 hospitals with prices
What Washington hospitals publish for this code
Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.
| Hospital | Other government program rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $121 | $303 |
| Deaconess Medical Center | — | $121 | $303 |
| EvergreenHealth Medical Center | — | $124 – $200 | $155 – $250 |
| Harborview Medical Center | — | $268 – $292 | $382 – $416 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $121 | $303 |
| MultiCare Auburn Medical Center | — | $121 | $303 |
| MultiCare Covington Medical Center | — | $121 | $303 |
| MultiCare Good Samaritan Hospital | — | $121 | $303 |
| MultiCare Valley Hospital | — | $121 | $303 |
| Olympic Medical Center | — | $654 | $817 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $48.09 | $117 | $117 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $121 | $303 |
| University of Washington Medical Ctr | — | $326 – $375 | $466 – $535 |
| Virginia Mason Medical Center | — | $121 – $147 | $238 – $288 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | — | — |
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)