HCPCS L4394
Replace soft interface material, foot drop splint
Current codeBelow Knee Orthotic23 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 | $17.42 – $135 | $10.40 | $26.00 |
| Deaconess Medical Center | $9.66 – $84.16 | $10.40 | $26.00 |
| Harborview Medical Center | $32.35 – $40.44 | — | — |
| Kadlec Regional Medical Center | $30.51 – $56.80 | — | — |
| Mary Bridge Children's Hospital | $16.79 – $148 | $10.40 | $26.00 |
| MultiCare Auburn Medical Center | $16.94 – $87.37 | $10.40 | $26.00 |
| MultiCare Covington Medical Center | $16.94 – $87.37 | $10.40 | $26.00 |
| MultiCare Good Samaritan Hospital | $16.94 – $87.37 | $10.40 | $26.00 |
| MultiCare Valley Hospital | $9.66 – $83.97 | $10.40 | $26.00 |
| Overlake Hospital Medical Center & Clinics | $18.55 – $55.65 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $31.33 – $67.08 | — | — |
| Providence Centralia Hospital | $34.17 – $75.60 | — | — |
| Providence Regional Medical Center Everett | $24.26 – $46.91 | — | — |
| Providence St Peter Hospital | $17.19 – $66.02 | — | — |
| Swedish Edmonds Hospital | $30.33 – $74.21 | — | — |
| Swedish Issaquah | $30.33 – $44.89 | — | — |
| Swedish Medical Center | $30.33 – $72.22 | — | — |
| Swedish Medical Center / Cherry Hill | $30.33 – $72.22 | — | — |
| Tacoma General Allenmore Hospital | $16.94 – $87.37 | $10.40 | $26.00 |
| University of Washington Medical Ctr | $32.35 – $63.41 | — | — |
| Virginia Mason Medical Center | $19.36 – $70.31 | — | — |
| Wellfound Behavioral Health Hospital | $51.03 | — | — |
| Yakima Valley Memorial | $12.74 – $52.46 | $10.40 | $26.00 |
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
- $20.22 (fee)