HCPCS L3265

Plastazote sandal, each

Current codeBelow Knee Orthotic17 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 L3265 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$15.46 – $19.985 plans——
Highline Medical CenterBurienFile dated 2026-02-28$14.62 – $82.2010 plans$10.39$34.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$24.841 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$39.561 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$14.57 – $16.655 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$14.57 – $16.655 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$23.981 plan——
St Anthony HospitalGig HarborFile dated 2026-02-28$14.28 – $1038 plans$10.35$34.00
St Clare HospitalLakewoodFile dated 2026-02-28$14.28 – $1038 plans$9.81$34.00
St Elizabeth HospitalEnumclawFile dated 2026-02-28$11.33 – $10313 plans$12.02$34.00
St Francis Community HospitalFederal WayFile dated 2026-02-28$14.28 – $1038 plans$10.67$34.00
St Joseph Medical CenterTacomaFile dated 2026-02-28$14.28 – $1038 plans$11.27$34.00
St Michael Medical CenterSilverdaleFile dated 2026-02-28$16.65 – $30.6014 plans$15.01$34.00
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$14.57 – $16.655 plans——
Three Rivers HospitalBrewster—$18.45 – $29.04$18.45 – $29.04
Virginia Mason Medical CenterSeattle$45.431 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$17.32 – $19.985 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.