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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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28—$10.39$34.00
St Anthony HospitalGig HarborFile dated 2026-02-28—$10.35$34.00
St Clare HospitalLakewoodFile dated 2026-02-28—$9.81$34.00
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$12.02$34.00
St Francis Community HospitalFederal WayFile dated 2026-02-28—$10.67$34.00
St Joseph Medical CenterTacomaFile dated 2026-02-28—$11.27$34.00
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$15.01$34.00
Three Rivers HospitalBrewster$12.92 – $20.331 plan$18.45 – $29.04$18.45 – $29.04

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.