HCPCS L4100
Replace leather cuff kafo, proximal thigh
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 | $138 – $1,069 | — | — |
| Deaconess Medical Center | $191 – $665 | — | — |
| Harborview Medical Center | $256 – $320 | $196 | $280 |
| Kadlec Regional Medical Center | $241 – $449 | — | — |
| Mary Bridge Children's Hospital | $138 – $1,173 | — | — |
| MultiCare Auburn Medical Center | $134 – $690 | — | — |
| MultiCare Covington Medical Center | $134 – $690 | — | — |
| MultiCare Good Samaritan Hospital | $155 – $690 | — | — |
| MultiCare Valley Hospital | $153 – $664 | — | — |
| Overlake Hospital Medical Center & Clinics | $147 – $440 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $248 – $530 | — | — |
| Providence Centralia Hospital | $270 – $598 | — | — |
| Providence Regional Medical Center Everett | $192 – $371 | — | — |
| Providence St Peter Hospital | $136 – $522 | — | — |
| Swedish Edmonds Hospital | $240 – $586 | — | — |
| Swedish Issaquah | $240 – $355 | — | — |
| Swedish Medical Center | $240 – $571 | — | — |
| Swedish Medical Center / Cherry Hill | $240 – $571 | — | — |
| Tacoma General Allenmore Hospital | $134 – $690 | — | — |
| University of Washington Medical Ctr | $256 – $501 | $249 | $355 |
| Virginia Mason Medical Center | $153 – $556 | — | — |
| Wellfound Behavioral Health Hospital | $403 | — | — |
| Yakima Valley Memorial | $138 – $415 | — | — |
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
- $160 (fee)