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
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 | $100 – $110 | — | — |
| Deaconess Medical Center | $100 – $110 | — | — |
| Harborview Medical Center | $102 – $112 | $125 | $179 |
| Kadlec Regional Medical Center | $102 – $123 | — | — |
| Mary Bridge Children's Hospital | $100 – $110 | — | — |
| MultiCare Auburn Medical Center | $100 – $110 | — | — |
| MultiCare Covington Medical Center | $100 – $110 | — | — |
| MultiCare Good Samaritan Hospital | $100 – $110 | — | — |
| MultiCare Valley Hospital | $103 – $110 | — | — |
| Overlake Hospital Medical Center & Clinics | $102 – $106 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $102 – $123 | — | — |
| Providence Centralia Hospital | $102 – $164 | — | — |
| Providence Regional Medical Center Everett | $102 – $112 | — | — |
| Providence St Peter Hospital | $102 – $164 | — | — |
| Swedish Edmonds Hospital | $102 – $123 | — | — |
| Swedish Issaquah | $102 – $123 | — | — |
| Swedish Medical Center | $102 – $123 | — | — |
| Swedish Medical Center / Cherry Hill | $102 – $123 | — | — |
| Tacoma General Allenmore Hospital | $100 – $110 | — | — |
| University of Washington Medical Ctr | $102 – $112 | — | — |
| Virginia Mason Medical Center | $70.18 – $105 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $100 – $112 | — | — |
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)