HCPCS L3720
Elbow orthosis, double upright with forearm/arm cuffs, free motion, custom fabricated
Current code27 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $437 – $448 | $1,093 – $1,120 |
| Deaconess Medical Center | — | $448 | $1,120 |
| Harborview Medical Center | — | $1,076 | $1,537 |
| Kadlec Regional Medical Center | — | — | — |
| Legacy Salmon Creek Medical Center | — | $2.60 | $4.00 |
| Mary Bridge Children's Hospital | — | $448 | $1,120 |
| MultiCare Auburn Medical Center | — | $448 | $1,120 |
| MultiCare Covington Medical Center | — | $448 | $1,120 |
| MultiCare Good Samaritan Hospital | — | $448 | $1,120 |
| MultiCare Valley Hospital | — | $448 | $1,120 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | — | $2,620 | $2,620 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $448 | $1,120 |
| Three Rivers Hospital | $5.59 | $7.98 | $7.98 |
| University of Washington Medical Ctr | — | $1,281 – $1,292 | $1,831 – $1,845 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $1,062 | $1,062 |
| Yakima Valley Memorial | — | — | — |
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
- $879 (fee)