HCPCS L3807

Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise

Current code31 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L3807 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$172 – $1,82519 plans$94.00 – $336$235 – $840
Deaconess Medical CenterSpokaneFile dated 2026-08-27$87.30 – $1,13616 plans$94.00 – $336$235 – $840
Harborview Medical CenterSeattleFile dated 2026-04-01$437 – $5462 plans$89.28 – $334$128 – $478
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$412 – $7675 plans$47.50 – $275$67.86 – $393
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$152 – $2,00318 plans$94.00 – $336$235 – $840
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$172 – $1,17920 plans$94.00 – $336$235 – $840
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$172 – $1,17920 plans$94.00 – $336$235 – $840
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$172 – $1,17920 plans$94.00 – $336$235 – $840
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$87.30 – $1,13416 plans$94.00 – $336$235 – $840
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$250 – $75110 plans$83.69 – $186$167 – $372
PeaceHealth Southwest Medical CenteVancouver$109 – $8865 plans$315$485
PeaceHealth St John Medical CenterLongview$29.00 – $3194 plans$18.85$29.00
PeaceHealth United General Medical CenterSedro Woolley—$51.35$79.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$423 – $9069 plans$77.38 – $387$111 – $552
Providence Centralia HospitalCentraliaFile dated 2026-04-01$461 – $1,0215 plans$45.55 – $410$87.60 – $788
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$77.38 – $387$111 – $552
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$72.81 – $366$104 – $523
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$328 – $6337 plans$48.40 – $453$93.07 – $872
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$72.81 – $366$104 – $523
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$45.99 – $319$65.70 – $455
Providence St Peter HospitalOlympiaFile dated 2026-04-01$232 – $8918 plans$54.62 – $410$105 – $788
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$409 – $1,0017 plans$29.96 – $281$62.41 – $585
Swedish IssaquahIssaquahFile dated 2026-04-01$409 – $6067 plans$29.96 – $362$62.41 – $754
Swedish Medical CenterSeattleFile dated 2026-04-01$409 – $9759 plans$29.96 – $362$62.41 – $754
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$409 – $9759 plans$29.96 – $362$62.41 – $754
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$172 – $1,17920 plans$94.00 – $336$235 – $840
University of Washington Medical CtrSeattleFile dated 2026-04-01$437 – $8565 plans$77.27 – $432$110 – $618
Virginia Mason Medical CenterSeattle$261 – $9497 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$6891 plan——
WhidbeyHealth Medical CenterCoupeville—$323$323
Yakima Valley MemorialYakimaFile dated 2026-08-27$69.09 – $70819 plans$56.40 – $223$141 – $557

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
$273 (fee)