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
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 | $1,265 – $1,391 | $658 | $1,645 |
| Deaconess Medical Center | $1,265 – $1,391 | $658 | $1,645 |
| Harborview Medical Center | $1,290 – $1,419 | $1,581 | $2,258 |
| Kadlec Regional Medical Center | $1,290 – $1,548 | — | — |
| Mary Bridge Children's Hospital | $1,265 – $1,391 | $658 | $1,645 |
| MultiCare Auburn Medical Center | $1,265 – $1,391 | $658 | $1,645 |
| MultiCare Covington Medical Center | $1,265 – $1,391 | $658 | $1,645 |
| MultiCare Good Samaritan Hospital | $1,265 – $1,391 | $658 | $1,645 |
| MultiCare Valley Hospital | $1,303 – $1,391 | $658 | $1,645 |
| Overlake Hospital Medical Center & Clinics | $1,290 – $1,342 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,290 – $1,548 | — | — |
| Providence Centralia Hospital | $1,290 – $2,065 | — | — |
| Providence Regional Medical Center Everett | $1,290 – $1,419 | — | — |
| Providence St Joseph Hospital | — | $1,065 | $1,521 |
| Providence St Peter Hospital | $1,290 – $2,065 | — | — |
| Seattle Children's Hospital | — | $3,145 | $3,145 |
| Swedish Edmonds Hospital | $1,290 – $1,548 | — | — |
| Swedish Issaquah | $1,290 – $1,548 | — | — |
| Swedish Medical Center | $1,290 – $1,548 | — | — |
| Swedish Medical Center / Cherry Hill | $1,290 – $1,548 | — | — |
| Tacoma General Allenmore Hospital | $1,265 – $1,391 | $658 | $1,645 |
| University of Washington Medical Ctr | $1,290 – $1,419 | — | — |
| Virginia Mason Medical Center | $886 – $1,328 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,265 – $1,416 | $658 | $1,645 |
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)