HCPCS L3763
Elbow wrist hand orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Current code38 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 | — | $18.40 – $412 | $46.00 – $1,029 |
| Deaconess Medical Center | — | $18.40 | $46.00 |
| EvergreenHealth Medical Center | $807 – $835 | $447 | $559 |
| EvergreenHealth Monroe | $807 – $835 | $731 | $914 |
| Harborview Medical Center | — | $977 – $989 | $1,396 – $1,412 |
| Highline Medical Center | — | $265 | $867 |
| Mary Bridge Children's Hospital | — | $18.40 | $46.00 |
| MultiCare Auburn Medical Center | — | $18.40 | $46.00 |
| MultiCare Covington Medical Center | — | $18.40 | $46.00 |
| MultiCare Good Samaritan Hospital | — | $18.40 | $46.00 |
| MultiCare Valley Hospital | — | $18.40 | $46.00 |
| Olympic Medical Center | — | $756 | $945 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $760 | $1,085 |
| Providence Holy Family Hospital | — | $775 | $1,107 |
| Providence St Joseph Hospital | — | $703 | $1,004 |
| Providence St Mary Medical Center | — | $529 | $755 |
| St Anthony Hospital | — | $264 | $867 |
| St Clare Hospital | — | $250 | $867 |
| St Elizabeth Hospital | — | $307 | $867 |
| St Francis Community Hospital | — | $272 | $867 |
| St Joseph Medical Center | — | $287 | $867 |
| St Michael Medical Center | — | $383 | $867 |
| Tacoma General Allenmore Hospital | — | $18.40 | $46.00 |
| University of Washington Medical Ctr | — | $1,119 – $1,148 | $1,599 – $1,639 |
| Virginia Mason Medical Center | — | $266 | $522 |
| Yakima Valley Memorial | — | $11.20 | $28.00 |
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
- $807 (fee)