HCPCS L3250
Orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each
Current codeBelow Knee Orthotic8 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 | $255 – $329 | — | — |
| Mary Bridge Children's Hospital | $652 | — | — |
| MultiCare Auburn Medical Center | $240 – $274 | — | — |
| MultiCare Covington Medical Center | $240 – $274 | — | — |
| MultiCare Valley Hospital | $395 | — | — |
| Tacoma General Allenmore Hospital | $240 – $274 | — | — |
| Virginia Mason Medical Center | $749 | — | — |
| Yakima Valley Memorial | $285 – $329 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.