HCPCS L4210
Repair of orthotic device, repair or replace minor parts
Current code14 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 | $35.64 – $56.10 | $26.40 | $66.00 |
| Deaconess Medical Center | $24.52 – $48.18 | $26.40 | $66.00 |
| EvergreenHealth Medical Center | $34.56 – $100 | $86.40 | $108 |
| Harborview Medical Center | — | $48.28 | $68.97 |
| Mary Bridge Children's Hospital | $39.60 – $53.72 | $26.40 | $66.00 |
| MultiCare Auburn Medical Center | $31.77 – $48.18 | $26.40 | $66.00 |
| MultiCare Covington Medical Center | $31.77 – $48.18 | $26.40 | $66.00 |
| MultiCare Good Samaritan Hospital | $31.77 – $48.18 | $26.40 | $66.00 |
| MultiCare Valley Hospital | $24.52 – $47.52 | $26.40 | $66.00 |
| Swedish Issaquah | — | $146 | $304 |
| Swedish Medical Center | — | $146 | $304 |
| Swedish Medical Center / Cherry Hill | — | $146 | $304 |
| Tacoma General Allenmore Hospital | $31.77 – $48.18 | $26.40 | $66.00 |
| University of Washington Medical Ctr | — | $81.81 – $84.21 | $117 – $120 |
Medicare (traditional) reference
CMS publishes no national amount for this code.