HCPCS L4020
Replace quadrilateral socket brim, molded to patient model
Current code23 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 | $949 – $7,363 | — | — |
| Deaconess Medical Center | $1,318 – $4,583 | — | — |
| Harborview Medical Center | $1,762 – $2,202 | $1,349 | $1,927 |
| Kadlec Regional Medical Center | $1,661 – $3,093 | — | — |
| Mary Bridge Children's Hospital | $949 – $8,082 | — | — |
| MultiCare Auburn Medical Center | $922 – $4,757 | — | — |
| MultiCare Covington Medical Center | $922 – $4,757 | — | — |
| MultiCare Good Samaritan Hospital | $1,070 – $4,757 | — | — |
| MultiCare Valley Hospital | $1,054 – $4,573 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,010 – $3,029 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,705 – $3,653 | — | — |
| Providence Centralia Hospital | $1,861 – $4,117 | — | — |
| Providence Regional Medical Center Everett | $1,321 – $2,555 | — | — |
| Providence St Peter Hospital | $936 – $3,595 | — | — |
| Swedish Edmonds Hospital | $1,652 – $4,039 | — | — |
| Swedish Issaquah | $1,652 – $2,445 | — | — |
| Swedish Medical Center | $1,652 – $3,933 | — | — |
| Swedish Medical Center / Cherry Hill | $1,652 – $3,933 | — | — |
| Tacoma General Allenmore Hospital | $922 – $4,757 | — | — |
| University of Washington Medical Ctr | $1,762 – $3,453 | $1,703 | $2,433 |
| Virginia Mason Medical Center | $1,054 – $3,830 | — | — |
| Wellfound Behavioral Health Hospital | $2,779 | — | — |
| Yakima Valley Memorial | $949 – $2,857 | — | — |
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
- $1,101 (fee)