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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L3265 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27———
Highline Medical CenterBurienFile dated 2026-02-28—$10.39$34.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
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$6.12 – $7.4812 plans$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
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Three Rivers HospitalBrewster—$18.45 – $29.04$18.45 – $29.04
Virginia Mason Medical CenterSeattle———
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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.