HCPCS L3221

Orthopedic footwear, mens shoe, depth inlay, each

Current codeBelow Knee Orthotic13 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L3221 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$100 – $5236 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2281 plan——
Harborview Medical CenterSeattleFile dated 2026-04-01—$90.19 – $90.46$129 – $129
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$86.571 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$257 – $6772 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$94.66 – $6336 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$94.66 – $6336 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$6331 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$156 – $2282 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2501 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$94.66 – $6336 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$139$199
Yakima Valley MemorialYakimaFile dated 2026-08-27$113 – $1305 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

CMS publishes no national amount for this code.