HCPCS L4360
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Current codeBelow Knee Orthotic39 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $130 – $216 | $324 – $541 |
| Cascade Valley Hospital | $161 – $478 | $128 – $187 | $161 – $234 |
| Deaconess Medical Center | — | $130 – $216 | $324 – $541 |
| Harborview Medical Center | — | $211 – $520 | $302 – $742 |
| Highline Medical Center | — | $47.17 – $108 | $154 – $355 |
| Kadlec Regional Medical Center | — | $141 – $616 | $202 – $880 |
| Mary Bridge Children's Hospital | — | $130 – $216 | $324 – $541 |
| MultiCare Auburn Medical Center | — | $130 – $216 | $324 – $541 |
| MultiCare Covington Medical Center | — | $130 – $216 | $324 – $541 |
| MultiCare Good Samaritan Hospital | — | $130 – $216 | $324 – $541 |
| MultiCare Valley Hospital | — | $130 – $216 | $324 – $541 |
| Olympic Medical Center | — | $107 – $1,729 | $134 – $2,161 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Southwest Medical Cente | $441 | $490 | $754 |
| PeaceHealth St John Medical Center | $331 – $445 | $268 | $413 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $304 – $758 | $434 – $1,084 |
| Providence Centralia Hospital | — | $179 – $933 | $344 – $1,794 |
| Providence Holy Family Hospital | — | $304 – $758 | $434 – $1,084 |
| Providence Mount Carmel Hospital | — | $286 – $720 | $408 – $1,028 |
| Providence Regional Medical Center Everett | — | $190 – $1,026 | $365 – $1,973 |
| Providence St Joseph Hospital | — | $286 – $720 | $408 – $1,028 |
| Providence St Mary Medical Center | — | $181 – $670 | $258 – $957 |
| Providence St Peter Hospital | — | $179 – $933 | $344 – $1,794 |
| Skagit Valley Hospital | — | $128 – $187 | $161 – $234 |
| St Anthony Hospital | — | $46.98 – $108 | $154 – $355 |
| St Clare Hospital | — | $44.53 – $102 | $154 – $355 |
| St Elizabeth Hospital | $26.26 – $73.40 | $54.59 – $125 | $154 – $355 |
| St Francis Community Hospital | — | $48.48 – $111 | $154 – $355 |
| St Joseph Medical Center | — | $51.16 – $117 | $154 – $355 |
| St Michael Medical Center | — | $68.18 – $156 | $154 – $355 |
| Swedish Edmonds Hospital | — | $68.04 – $628 | $142 – $1,308 |
| Swedish Issaquah | — | $68.04 – $628 | $142 – $1,308 |
| Swedish Medical Center | — | $68.04 – $628 | $142 – $1,308 |
| Swedish Medical Center / Cherry Hill | — | $68.04 – $628 | $142 – $1,308 |
| Tacoma General Allenmore Hospital | — | $130 – $216 | $324 – $541 |
| University of Washington Medical Ctr | — | $183 – $696 | $261 – $995 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | — | $76.00 – $216 | $190 – $541 |
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
- $424 (fee)