HCPCS L3150

Foot, abduction rotation bar, without shoes

Current codeBelow Knee Orthotic24 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 L3150 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$95.68 – $1056 plans$49.60$124
Deaconess Medical CenterSpokaneFile dated 2026-08-27$95.68 – $1058 plans$49.60$124
Harborview Medical CenterSeattleFile dated 2026-04-01$97.63 – $1075 plans$120$171
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$97.63 – $1177 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$95.68 – $1057 plans$49.60$124
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$95.68 – $1057 plans$49.60$124
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$95.68 – $1057 plans$49.60$124
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$95.68 – $1057 plans$49.60$124
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$98.55 – $1057 plans$49.60$124
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$97.63 – $1023 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$97.63 – $1177 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$97.63 – $1567 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$97.63 – $1076 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$97.63 – $1567 plans——
Seattle Children's HospitalSeattle—$387$387
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$97.63 – $1178 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$97.63 – $1178 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$97.63 – $1178 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$97.63 – $1178 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$95.68 – $1057 plans$49.60$124
University of Washington Medical CtrSeattleFile dated 2026-04-01$97.63 – $1075 plans——
Virginia Mason Medical CenterSeattle$67.00 – $1019 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$95.68 – $1078 plans$49.60$124

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
$97.63 (fee)