HCPCS L3900

Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated

Current code25 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 L3900 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,411 – $10,94919 plans$835$2,087
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,960 – $6,8159 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$2,620 – $3,2752 plans$2,006$2,866
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2,470 – $4,6005 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,411 – $12,0197 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,372 – $7,07517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,372 – $7,07517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,592 – $7,07512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,568 – $6,80010 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,502 – $4,50510 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2,536 – $5,4339 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2,768 – $6,1235 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,965 – $3,7997 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,073$1,533
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,392 – $5,3478 plans——
Seattle Children's HospitalSeattle$2,225 – $3,95698 plans$4,121$4,121
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$2,456 – $6,0077 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$2,456 – $3,6357 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$2,456 – $5,8499 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$2,456 – $5,8499 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,372 – $7,07517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$2,620 – $5,1365 plans$2,440$3,486
Virginia Mason Medical CenterSeattle$1,568 – $5,6957 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4,1321 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,411 – $4,24813 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
$1,638 (fee)