HCPCS L3090
Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each
Current codeBelow Knee Orthotic23 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 | $47.85 – $52.64 | — | — |
| Deaconess Medical Center | $47.85 – $52.64 | — | — |
| Harborview Medical Center | $48.83 – $53.71 | $59.82 | $85.45 |
| Kadlec Regional Medical Center | $48.83 – $58.60 | — | — |
| Mary Bridge Children's Hospital | $47.85 – $52.64 | — | — |
| MultiCare Auburn Medical Center | $47.85 – $52.64 | — | — |
| MultiCare Covington Medical Center | $47.85 – $52.64 | — | — |
| MultiCare Good Samaritan Hospital | $47.85 – $52.64 | — | — |
| MultiCare Valley Hospital | $49.29 – $52.64 | — | — |
| Overlake Hospital Medical Center & Clinics | $48.83 – $50.78 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $48.83 – $58.60 | — | — |
| Providence Centralia Hospital | $48.83 – $78.13 | — | — |
| Providence Regional Medical Center Everett | $48.83 – $53.71 | — | — |
| Providence St Peter Hospital | $48.83 – $78.13 | — | — |
| Swedish Edmonds Hospital | $48.83 – $58.60 | — | — |
| Swedish Issaquah | $48.83 – $58.60 | — | — |
| Swedish Medical Center | $48.83 – $58.60 | — | — |
| Swedish Medical Center / Cherry Hill | $48.83 – $58.60 | — | — |
| Tacoma General Allenmore Hospital | $47.85 – $52.64 | — | — |
| University of Washington Medical Ctr | $48.83 – $53.71 | — | — |
| Virginia Mason Medical Center | $33.51 – $50.26 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $47.85 – $53.60 | — | — |
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
- $48.83 (fee)