HCPCS L3891
Addition to upper extremity joint, wrist or elbow, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each
Current code10 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 | $569 | — | — |
| Deaconess Medical Center | $248 | — | — |
| Harborview Medical Center | — | $462 | $660 |
| Mary Bridge Children's Hospital | $737 | — | — |
| MultiCare Auburn Medical Center | $689 | — | — |
| MultiCare Covington Medical Center | $689 | — | — |
| MultiCare Good Samaritan Hospital | $689 | — | — |
| MultiCare Valley Hospital | $248 | — | — |
| Overlake Hospital Medical Center & Clinics | $272 | — | — |
| Tacoma General Allenmore Hospital | $689 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.