HCPCS L4392
Replacement, soft interface material, static afo
Current code30 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $27.20 – $29.91 | $14.00 | $35.00 |
| Deaconess Medical Center | $27.20 – $29.91 | $14.00 | $35.00 |
| Harborview Medical Center | $27.75 – $30.52 | $33.99 | $48.56 |
| Highline Medical Center | — | $30.24 | $99.02 |
| Kadlec Regional Medical Center | $27.75 – $33.30 | — | — |
| Mary Bridge Children's Hospital | $27.20 – $29.91 | $14.00 | $35.00 |
| MultiCare Auburn Medical Center | $27.20 – $29.91 | $14.00 | $35.00 |
| MultiCare Covington Medical Center | $27.20 – $29.91 | $14.00 | $35.00 |
| MultiCare Good Samaritan Hospital | $27.20 – $29.91 | $14.00 | $35.00 |
| MultiCare Valley Hospital | $28.01 – $29.91 | $14.00 | $35.00 |
| Overlake Hospital Medical Center & Clinics | $27.75 – $28.86 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $27.75 – $33.30 | — | — |
| Providence Centralia Hospital | $27.75 – $44.40 | — | — |
| Providence Regional Medical Center Everett | $27.75 – $30.52 | — | — |
| Providence St Peter Hospital | $27.75 – $44.40 | — | — |
| St Anthony Hospital | — | $30.12 | $99.02 |
| St Clare Hospital | — | $28.55 | $99.02 |
| St Elizabeth Hospital | $17.83 – $21.79 | $35.00 | $99.02 |
| St Francis Community Hospital | — | $31.08 | $99.02 |
| St Joseph Medical Center | — | $32.80 | $99.02 |
| St Michael Medical Center | — | $43.71 | $99.02 |
| Swedish Edmonds Hospital | $27.75 – $33.30 | — | — |
| Swedish Issaquah | $27.75 – $33.30 | — | — |
| Swedish Medical Center | $27.75 – $33.30 | — | — |
| Swedish Medical Center / Cherry Hill | $27.75 – $33.30 | — | — |
| Tacoma General Allenmore Hospital | $27.20 – $29.91 | $14.00 | $35.00 |
| University of Washington Medical Ctr | $27.75 – $30.52 | $43.14 | $61.63 |
| Virginia Mason Medical Center | $19.05 – $28.57 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $27.20 – $30.46 | $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)