HCPCS L3740

Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L3740 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,182 – $1,3016 plans$615$1,538
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,182 – $1,3018 plans$615$1,538
Harborview Medical CenterSeattleFile dated 2026-04-01$1,207 – $1,3275 plans$1,478$2,111
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,207 – $1,4487 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,182 – $1,3017 plans$615$1,538
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,182 – $1,3017 plans$615$1,538
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,182 – $1,3017 plans$615$1,538
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,182 – $1,3017 plans$615$1,538
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,218 – $1,3017 plans$615$1,538
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,207 – $1,2553 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,207 – $1,4487 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,207 – $1,9307 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,207 – $1,3276 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$790$1,129
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,207 – $1,9307 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,207 – $1,4488 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,207 – $1,4488 plans$2,557$5,328
Swedish Medical CenterSeattleFile dated 2026-04-01$1,207 – $1,4488 plans$2,557$5,328
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,207 – $1,4488 plans$2,557$5,328
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,182 – $1,3017 plans$615$1,538
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,207 – $1,3275 plans$1,760$2,514
Virginia Mason Medical CenterSeattle$828 – $1,2429 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,182 – $1,3248 plans$615$1,538

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
$1,207 (fee)