HCPCS L3420
Full sole and heel wedge, between sole
Current codeBelow Knee Orthotic30 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $56.54 – $439 | $33.60 | $84.00 |
| Deaconess Medical Center | $31.21 – $273 | $33.60 | $84.00 |
| Harborview Medical Center | $105 – $131 | $80.38 – $80.39 | $115 – $115 |
| Highline Medical Center | $35.57 – $253 | $25.26 | $82.70 |
| Kadlec Regional Medical Center | $98.96 – $184 | — | — |
| Mary Bridge Children's Hospital | $54.26 – $482 | $33.60 | $84.00 |
| MultiCare Auburn Medical Center | $54.97 – $283 | $33.60 | $84.00 |
| MultiCare Covington Medical Center | $54.97 – $283 | $33.60 | $84.00 |
| MultiCare Good Samaritan Hospital | $54.97 – $283 | $33.60 | $84.00 |
| MultiCare Valley Hospital | $31.21 – $272 | $33.60 | $84.00 |
| Overlake Hospital Medical Center & Clinics | $60.18 – $181 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $102 – $218 | — | — |
| Providence Centralia Hospital | $111 – $245 | — | — |
| Providence Regional Medical Center Everett | $78.74 – $152 | — | — |
| Providence St Peter Hospital | $55.78 – $214 | — | — |
| St Anthony Hospital | $41.35 – $318 | $25.16 | $82.70 |
| St Clare Hospital | $41.35 – $318 | $23.84 | $82.70 |
| St Elizabeth Hospital | $27.54 – $318 | $29.23 | $82.70 |
| St Francis Community Hospital | $41.35 – $318 | $25.96 | $82.70 |
| St Joseph Medical Center | $41.35 – $318 | $27.40 | $82.70 |
| St Michael Medical Center | $52.93 – $289 | $36.50 | $82.70 |
| Swedish Edmonds Hospital | $98.43 – $241 | — | — |
| Swedish Issaquah | $98.43 – $146 | — | — |
| Swedish Medical Center | $98.43 – $234 | — | — |
| Swedish Medical Center / Cherry Hill | $98.43 – $234 | — | — |
| Tacoma General Allenmore Hospital | $54.97 – $283 | $33.60 | $84.00 |
| University of Washington Medical Ctr | $105 – $206 | $101 | $145 |
| Virginia Mason Medical Center | $62.82 – $228 | — | — |
| Wellfound Behavioral Health Hospital | $166 | — | — |
| Yakima Valley Memorial | $56.54 – $170 | — | — |
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
- $65.62 (fee)