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$1,316 – $1,3982 plans$658$1,645
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,168 – $1,2012 plans$658$1,645
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,581$2,258
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,076 – $1,3166 plans$658$1,645
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$971 – $1,2013 plans$658$1,645
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$971 – $1,2013 plans$658$1,645
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$971 – $1,2013 plans$658$1,645
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,1842 plans$658$1,645
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,065$1,521
Seattle Children's HospitalSeattle$1,698 – $3,01998 plans$3,145$3,145
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$971 – $1,2013 plans$658$1,645
Yakima Valley MemorialYakimaFile dated 2026-08-27$9211 plan$658$1,645

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)