HCPCS L3222

Orthopedic footwear, mens shoe, hightop, depth inlay, each

Current code12 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 L3222 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$111 – $5796 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2531 plan——
Harborview Medical CenterSeattleFile dated 2026-04-01—$87.98 – $88.08$126 – $126
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$86.571 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$285 – $7502 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$105 – $7016 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$105 – $7016 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$7011 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$173 – $2532 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2771 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$105 – $7016 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$125 – $1445 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.