HCPCS L3730
Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated
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 | $1,158 – $1,274 | $602 | $1,506 |
| Deaconess Medical Center | $1,158 – $1,274 | — | — |
| Harborview Medical Center | $1,182 – $1,300 | $1,448 | $2,068 |
| Kadlec Regional Medical Center | $1,182 – $1,418 | — | — |
| Mary Bridge Children's Hospital | $1,158 – $1,274 | — | — |
| MultiCare Auburn Medical Center | $1,158 – $1,274 | — | — |
| MultiCare Covington Medical Center | $1,158 – $1,274 | — | — |
| MultiCare Good Samaritan Hospital | $1,158 – $1,274 | — | — |
| MultiCare Valley Hospital | $1,193 – $1,274 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,182 – $1,229 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,182 – $1,418 | — | — |
| Providence Centralia Hospital | $1,182 – $1,891 | — | — |
| Providence Regional Medical Center Everett | $1,182 – $1,300 | — | — |
| Providence St Mary Medical Center | — | $774 | $1,106 |
| Providence St Peter Hospital | $1,182 – $1,891 | — | — |
| Seattle Children's Hospital | — | $1,702 | $1,702 |
| Swedish Edmonds Hospital | $1,182 – $1,418 | — | — |
| Swedish Issaquah | $1,182 – $1,418 | — | — |
| Swedish Medical Center | $1,182 – $1,418 | — | — |
| Swedish Medical Center / Cherry Hill | $1,182 – $1,418 | — | — |
| Tacoma General Allenmore Hospital | $1,158 – $1,274 | — | — |
| University of Washington Medical Ctr | $1,182 – $1,300 | $1,682 | $2,402 |
| Virginia Mason Medical Center | $811 – $1,217 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,158 – $1,297 | — | — |
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
- $1,182 (fee)