HCPCS L3764
Elbow wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Current code28 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $924 – $982 | $462 | $1,155 |
| Harborview Medical Center | — | $1,110 | $1,586 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $760 | $1,085 |
| Providence Holy Family Hospital | — | $775 | $1,107 |
| Providence St Joseph Hospital | — | $482 | $689 |
| Providence St Mary Medical Center | — | $594 | $848 |
| University of Washington Medical Ctr | — | $1,278 | $1,825 |
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
- $906 (fee)