HCPCS L3674

Shoulder orthosis, abduction positioning (airplane design), thoracic component and support bar, with or without nontorsion joint/turnbuckle, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Current code25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L3674 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,112 – $8,62819 plans$658$1,645
Deaconess Medical CenterSpokaneFile dated 2026-08-27$611 – $5,37016 plans$658$1,645
Harborview Medical CenterSeattleFile dated 2026-04-01$2,065 – $2,5812 plans$1,581$2,258
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,946 – $3,6255 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,063 – $9,47018 plans$658$1,645
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,081 – $5,57520 plans$658$1,645
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,081 – $5,57520 plans$658$1,645
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,081 – $5,57520 plans$658$1,645
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$611 – $5,35816 plans$658$1,645
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,183 – $3,55010 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,999 – $4,2819 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,181 – $4,8255 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,548 – $2,9947 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,065$1,521
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,097 – $4,2138 plans——
Seattle Children's HospitalSeattle$1,698 – $3,01998 plans$3,145$3,145
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,936 – $4,7347 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,936 – $2,8657 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,936 – $4,6099 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,936 – $4,6099 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,081 – $5,57520 plans$658$1,645
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,065 – $4,0475 plans——
Virginia Mason Medical CenterSeattle$1,235 – $4,4887 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3,2561 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$806 – $3,34719 plans$658$1,645

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$1,290 (fee)