HCPCS L3809

Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type

Current code33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS L3809 by hospital
HospitalMedicaid (state program) rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$139$348
Cascade Valley HospitalArlington—$46.40 – $70.40$58.00 – $88.00
Harborview Medical CenterSeattleFile dated 2026-04-01—$239$341
Highline Medical CenterBurienFile dated 2026-02-28—$22.09 – $25.36$72.33 – $83.05
Seattle Children's HospitalSeattle$41.581 plan$165$165
Skagit Valley HospitalMount Vernon—$46.40 – $234$58.00 – $293
St Anthony HospitalGig HarborFile dated 2026-02-28—$22.00 – $25.26$72.33 – $83.05
St Clare HospitalLakewoodFile dated 2026-02-28—$20.85 – $23.94$72.33 – $83.05
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$25.56 – $29.35$72.33 – $83.05
St Francis Community HospitalFederal WayFile dated 2026-02-28—$22.70 – $26.07$72.33 – $83.05
St Joseph Medical CenterTacomaFile dated 2026-02-28—$23.96 – $27.51$72.33 – $83.05
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$31.93 – $36.66$72.33 – $83.05
Swedish IssaquahIssaquahFile dated 2026-04-01—$362$754
Swedish Medical CenterSeattleFile dated 2026-04-01—$362$754
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$362$754
University of Washington Medical CtrSeattleFile dated 2026-04-01—$239$341

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)