HCPCS L3040
Foot, arch support, removable, premolded, longitudinal, each
Current codeBelow Knee Orthotic25 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 | $48.64 – $377 | — | — |
| Deaconess Medical Center | $67.55 – $235 | — | — |
| EvergreenHealth Medical Center | $18.88 – $207 | $47.20 | $59.00 |
| Harborview Medical Center | $90.32 – $113 | $69.15 | $98.79 |
| Kadlec Regional Medical Center | $85.12 – $159 | — | — |
| Mary Bridge Children's Hospital | $48.64 – $414 | — | — |
| MultiCare Auburn Medical Center | $47.29 – $244 | — | — |
| MultiCare Covington Medical Center | $47.29 – $244 | — | — |
| MultiCare Good Samaritan Hospital | $54.87 – $244 | — | — |
| MultiCare Valley Hospital | $54.04 – $234 | — | — |
| Overlake Hospital Medical Center & Clinics | $51.76 – $155 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $87.42 – $187 | — | — |
| Providence Centralia Hospital | $95.40 – $211 | — | — |
| Providence Regional Medical Center Everett | $67.74 – $131 | — | — |
| Providence St Peter Hospital | $47.98 – $184 | — | — |
| Seattle Children's Hospital | $463 – $824 | $858 | $858 |
| Swedish Edmonds Hospital | $84.68 – $207 | — | — |
| Swedish Issaquah | $84.68 – $125 | — | — |
| Swedish Medical Center | $84.68 – $202 | — | — |
| Swedish Medical Center / Cherry Hill | $84.68 – $202 | — | — |
| Tacoma General Allenmore Hospital | $47.29 – $244 | — | — |
| University of Washington Medical Ctr | $90.32 – $177 | $98.51 | $141 |
| Virginia Mason Medical Center | $54.04 – $196 | — | — |
| Wellfound Behavioral Health Hospital | $142 | — | — |
| Yakima Valley Memorial | $48.64 – $146 | — | — |
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
- $56.45 (fee)