HCPCS L3265
Plastazote sandal, each
Current codeBelow Knee Orthotic17 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | — | — |
| Highline Medical Center | — | $10.39 | $34.00 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | — | — |
| MultiCare Auburn Medical Center | — | — | — |
| MultiCare Covington Medical Center | — | — | — |
| MultiCare Valley Hospital | — | — | — |
| St Anthony Hospital | — | $10.35 | $34.00 |
| St Clare Hospital | — | $9.81 | $34.00 |
| St Elizabeth Hospital | $5.78 – $7.04 | $12.02 | $34.00 |
| St Francis Community Hospital | — | $10.67 | $34.00 |
| St Joseph Medical Center | — | $11.27 | $34.00 |
| St Michael Medical Center | — | $15.01 | $34.00 |
| Tacoma General Allenmore Hospital | — | — | — |
| Three Rivers Hospital | $12.92 – $20.33 | $18.45 – $29.04 | $18.45 – $29.04 |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.