HCPCS L3400

Metatarsal bar wedge, rocker

Current codeBelow Knee Orthotic24 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 L3400 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$42.08 – $32619 plans$24.80$62.00
Deaconess Medical CenterSpokaneFile dated 2026-08-27$23.03 – $20316 plans$24.80$62.00
Harborview Medical CenterSeattleFile dated 2026-04-01$78.13 – $97.662 plans$59.82$85.45
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$73.65 – $1375 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$40.05 – $35818 plans$24.80$62.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$40.91 – $21120 plans$24.80$62.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$40.91 – $21120 plans$24.80$62.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$40.91 – $21120 plans$24.80$62.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$23.03 – $20316 plans$24.80$62.00
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$44.79 – $13410 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$75.64 – $1629 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$82.52 – $1835 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$58.60 – $1137 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$41.51 – $1598 plans——
Seattle Children's HospitalSeattle$186 – $33198 plans$345$345
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$73.24 – $1797 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$73.24 – $1087 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$73.24 – $1749 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$73.24 – $1749 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$40.91 – $21120 plans$24.80$62.00
University of Washington Medical CtrSeattleFile dated 2026-04-01$78.13 – $1535 plans$82.91$118
Virginia Mason Medical CenterSeattle$46.75 – $1707 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1231 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$30.38 – $12719 plans$24.80$62.00

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

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$48.83 (fee)