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
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 | $861 – $947 | $437 – $448 | $1,093 – $1,120 |
| Deaconess Medical Center | $861 – $947 | $448 | $1,120 |
| Harborview Medical Center | $879 – $966 | $1,076 | $1,537 |
| Kadlec Regional Medical Center | $879 – $1,054 | — | — |
| Legacy Salmon Creek Medical Center | — | $2.60 | $4.00 |
| Mary Bridge Children's Hospital | $861 – $947 | $448 | $1,120 |
| MultiCare Auburn Medical Center | $861 – $947 | $448 | $1,120 |
| MultiCare Covington Medical Center | $861 – $947 | $448 | $1,120 |
| MultiCare Good Samaritan Hospital | $861 – $947 | $448 | $1,120 |
| MultiCare Valley Hospital | $887 – $947 | $448 | $1,120 |
| Overlake Hospital Medical Center & Clinics | $879 – $914 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $879 – $1,054 | — | — |
| Providence Centralia Hospital | $879 – $1,406 | — | — |
| Providence Regional Medical Center Everett | $879 – $966 | — | — |
| Providence St Peter Hospital | $879 – $1,406 | — | — |
| Seattle Children's Hospital | — | $2,620 | $2,620 |
| Swedish Edmonds Hospital | $879 – $1,054 | — | — |
| Swedish Issaquah | $879 – $1,054 | — | — |
| Swedish Medical Center | $879 – $1,054 | — | — |
| Swedish Medical Center / Cherry Hill | $879 – $1,054 | — | — |
| Tacoma General Allenmore Hospital | $861 – $947 | $448 | $1,120 |
| Three Rivers Hospital | — | $7.98 | $7.98 |
| University of Washington Medical Ctr | $879 – $966 | $1,281 – $1,292 | $1,831 – $1,845 |
| Virginia Mason Medical Center | $603 – $904 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $1,062 | $1,062 |
| Yakima Valley Memorial | $861 – $964 | — | — |
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)