HCPCS L3702

Elbow orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Current code41 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L3702 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$157 – $161$392 – $402
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$161$402
EvergreenHealth Medical CenterKirkland—$422$527
EvergreenHealth MonroeMonroe$3251 plan$366$458
Harborview Medical CenterSeattleFile dated 2026-04-01—$382 – $386$546 – $552
Highline Medical CenterBurienFile dated 2026-02-28—$21.57$70.63
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$258$369
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$161$402
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$161$402
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$161$402
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$161$402
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$161$402
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$315$394
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$125$250
PeaceHealth St John Medical CenterLongview$246 – $3313 plans$296$456
PeaceHealth St Joseph Medical CenterBellingham$3312 plans$279$429
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$393$562
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$402$574
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$364$520
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$207$295
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Seattle Children's HospitalSeattle$184 – $23312 plans$716$716
Skagit Valley HospitalMount Vernon—$366$458
St Anthony HospitalGig HarborFile dated 2026-02-28—$21.49$70.63
St Clare HospitalLakewoodFile dated 2026-02-28—$20.36$70.63
St Elizabeth HospitalEnumclawFile dated 2026-02-28$12.01 – $14.635 plans$24.96$70.63
St Francis Community HospitalFederal WayFile dated 2026-02-28—$22.17$70.63
St Joseph Medical CenterTacomaFile dated 2026-02-28—$23.40$70.63
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$31.18$70.63
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$477$993
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01—$477$993
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$477$993
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$161$402
University of Washington Medical CtrSeattleFile dated 2026-04-01—$440 – $446$628 – $637
Virginia Mason Medical CenterSeattle—$266$522
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$383$383
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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
$315 (fee)