HCPCS L3730

Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated

Current code25 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for HCPCS L3730 by hospital
Hospital	Other government program rates (lowest – highest)	Cash price	List price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27	—	$602	$1,506
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$1,448	$2,068
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01	—	$774	$1,106
Seattle Children's HospitalSeattle	$6981 plan	$1,702	$1,702
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,682	$2,402

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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: $1,182 (fee)