HCPCS L4392
Replacement, soft interface material, static afo
Current code30 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 | $28.00 – $29.75 | $14.00 | $35.00 |
| Deaconess Medical Center | $24.85 – $25.55 | $14.00 | $35.00 |
| Harborview Medical Center | — | $33.99 | $48.56 |
| Highline Medical Center | $42.58 – $89.12 | $30.24 | $99.02 |
| Mary Bridge Children's Hospital | $22.89 – $28.00 | $14.00 | $35.00 |
| MultiCare Auburn Medical Center | $20.65 – $25.55 | $14.00 | $35.00 |
| MultiCare Covington Medical Center | $20.65 – $25.55 | $14.00 | $35.00 |
| MultiCare Good Samaritan Hospital | $20.65 – $25.55 | $14.00 | $35.00 |
| MultiCare Valley Hospital | $25.20 | $14.00 | $35.00 |
| St Anthony Hospital | $54.47 – $74.27 | $30.12 | $99.02 |
| St Clare Hospital | $54.47 – $74.27 | $28.55 | $99.02 |
| St Elizabeth Hospital | $39.61 – $89.12 | $35.00 | $99.02 |
| St Francis Community Hospital | $54.47 – $74.27 | $31.08 | $99.02 |
| St Joseph Medical Center | $54.47 – $74.27 | $32.80 | $99.02 |
| St Michael Medical Center | $62.39 – $89.12 | $43.71 | $99.02 |
| Tacoma General Allenmore Hospital | $20.65 – $25.55 | $14.00 | $35.00 |
| University of Washington Medical Ctr | — | $43.14 | $61.63 |
| Yakima Valley Memorial | $19.60 | $14.00 | $35.00 |
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
- $27.75 (fee)