HCPCS L3570
Orthopedic shoe addition, special extension to instep (leather with eyelets)
Current codeBelow Knee Orthotic23 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 | $88.11 – $684 | — | — |
| Deaconess Medical Center | $122 – $426 | — | — |
| Harborview Medical Center | $164 – $205 | $125 | $179 |
| Kadlec Regional Medical Center | $154 – $287 | — | — |
| Mary Bridge Children's Hospital | $88.11 – $750 | — | — |
| MultiCare Auburn Medical Center | $85.66 – $442 | — | — |
| MultiCare Covington Medical Center | $85.66 – $442 | — | — |
| MultiCare Good Samaritan Hospital | $99.39 – $442 | — | — |
| MultiCare Valley Hospital | $97.90 – $425 | — | — |
| Overlake Hospital Medical Center & Clinics | $93.77 – $281 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $158 – $339 | — | — |
| Providence Centralia Hospital | $173 – $382 | — | — |
| Providence Regional Medical Center Everett | $123 – $237 | — | — |
| Providence St Peter Hospital | $86.92 – $334 | — | — |
| Swedish Edmonds Hospital | $153 – $375 | — | — |
| Swedish Issaquah | $153 – $227 | — | — |
| Swedish Medical Center | $153 – $365 | — | — |
| Swedish Medical Center / Cherry Hill | $153 – $365 | — | — |
| Tacoma General Allenmore Hospital | $85.66 – $442 | — | — |
| University of Washington Medical Ctr | $164 – $321 | — | — |
| Virginia Mason Medical Center | $97.90 – $356 | — | — |
| Wellfound Behavioral Health Hospital | $258 | — | — |
| Yakima Valley Memorial | $88.11 – $265 | — | — |
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
- $102 (fee)