HCPCS L3420
Full sole and heel wedge, between sole
Current codeBelow Knee Orthotic30 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $64.31 – $70.74 | $33.60 | $84.00 |
| Deaconess Medical Center | $64.31 – $70.74 | $33.60 | $84.00 |
| Harborview Medical Center | $65.62 – $72.18 | $80.38 – $80.39 | $115 – $115 |
| Highline Medical Center | — | $25.26 | $82.70 |
| Kadlec Regional Medical Center | $65.62 – $78.74 | — | — |
| Mary Bridge Children's Hospital | $64.31 – $70.74 | $33.60 | $84.00 |
| MultiCare Auburn Medical Center | $64.31 – $70.74 | $33.60 | $84.00 |
| MultiCare Covington Medical Center | $64.31 – $70.74 | $33.60 | $84.00 |
| MultiCare Good Samaritan Hospital | $64.31 – $70.74 | $33.60 | $84.00 |
| MultiCare Valley Hospital | $66.24 – $70.74 | $33.60 | $84.00 |
| Overlake Hospital Medical Center & Clinics | $65.62 – $68.24 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $65.62 – $78.74 | — | — |
| Providence Centralia Hospital | $65.62 – $105 | — | — |
| Providence Regional Medical Center Everett | $65.62 – $72.18 | — | — |
| Providence St Peter Hospital | $65.62 – $105 | — | — |
| St Anthony Hospital | — | $25.16 | $82.70 |
| St Clare Hospital | — | $23.84 | $82.70 |
| St Elizabeth Hospital | $14.89 – $18.20 | $29.23 | $82.70 |
| St Francis Community Hospital | — | $25.96 | $82.70 |
| St Joseph Medical Center | — | $27.40 | $82.70 |
| St Michael Medical Center | — | $36.50 | $82.70 |
| Swedish Edmonds Hospital | $65.62 – $78.74 | — | — |
| Swedish Issaquah | $65.62 – $78.74 | — | — |
| Swedish Medical Center | $65.62 – $78.74 | — | — |
| Swedish Medical Center / Cherry Hill | $65.62 – $78.74 | — | — |
| Tacoma General Allenmore Hospital | $64.31 – $70.74 | $33.60 | $84.00 |
| University of Washington Medical Ctr | $65.62 – $72.18 | $101 | $145 |
| Virginia Mason Medical Center | $45.03 – $67.55 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $64.31 – $72.02 | — | — |
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)