HCPCS L3765

Elbow wrist hand finger orthosis, rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Current code34 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 L3765 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,372 – $1,5096 plans$697 – $714$1,742 – $1,784
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,372 – $1,5098 plans$714$1,784
EvergreenHealth Medical CenterKirkland$1,400 – $1,4495 plans$1,874$2,342
Harborview Medical CenterSeattleFile dated 2026-04-01$1,400 – $1,5405 plans$1,715$2,450
Highline Medical CenterBurienFile dated 2026-02-28—$459$1,505
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,400 – $1,6807 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,372 – $1,5097 plans$714$1,784
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,372 – $1,5097 plans$714$1,784
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,372 – $1,5097 plans$714$1,784
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,372 – $1,5097 plans$714$1,784
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,413 – $1,5097 plans$714$1,784
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,400 – $1,4563 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,400 – $1,6807 plans$760$1,085
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,400 – $2,2407 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$775$1,107
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,400 – $1,5406 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,400 – $2,2407 plans——
Skagit Valley HospitalMount Vernon—$1,618$2,022
St Anthony HospitalGig HarborFile dated 2026-02-28—$458$1,505
St Clare HospitalLakewoodFile dated 2026-02-28—$434$1,505
St Elizabeth HospitalEnumclawFile dated 2026-02-28$271 – $33112 plans$532$1,505
St Francis Community HospitalFederal WayFile dated 2026-02-28—$472$1,505
St Joseph Medical CenterTacomaFile dated 2026-02-28—$498$1,505
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$664$1,505
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,400 – $1,6808 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,400 – $1,6808 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,400 – $1,6808 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,400 – $1,6808 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,372 – $1,5097 plans$714$1,784
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,400 – $1,5405 plans$1,499$2,142
Virginia Mason Medical CenterSeattle$961 – $1,4419 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$1,688$1,688
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,372 – $1,5368 plans——

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
$1,400 (fee)