HCPCS L3901
Wrist hand finger orthosis, dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated
Current code24 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 | $1,745 – $13,537 | $1,032 | $2,580 |
| Deaconess Medical Center | $2,423 – $8,426 | — | — |
| Harborview Medical Center | $3,239 – $4,049 | $2,480 | $3,543 |
| Kadlec Regional Medical Center | $3,053 – $5,687 | — | — |
| Mary Bridge Children's Hospital | $1,745 – $14,859 | — | — |
| MultiCare Auburn Medical Center | $1,696 – $8,747 | — | — |
| MultiCare Covington Medical Center | $1,696 – $8,747 | — | — |
| MultiCare Good Samaritan Hospital | $1,968 – $8,747 | — | — |
| MultiCare Valley Hospital | $1,938 – $8,407 | — | — |
| Overlake Hospital Medical Center & Clinics | $1,857 – $5,570 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $3,136 – $6,716 | — | — |
| Providence Centralia Hospital | $3,422 – $7,570 | — | — |
| Providence Regional Medical Center Everett | $2,429 – $4,697 | — | — |
| Providence St Mary Medical Center | — | $1,327 | $1,895 |
| Providence St Peter Hospital | $1,721 – $6,610 | — | — |
| Swedish Edmonds Hospital | $3,037 – $7,427 | — | — |
| Swedish Issaquah | $3,037 – $4,495 | — | — |
| Swedish Medical Center | $3,037 – $7,231 | — | — |
| Swedish Medical Center / Cherry Hill | $3,037 – $7,231 | — | — |
| Tacoma General Allenmore Hospital | $1,696 – $8,747 | — | — |
| University of Washington Medical Ctr | $3,239 – $6,349 | $2,643 | $3,776 |
| Virginia Mason Medical Center | $1,938 – $7,041 | — | — |
| Wellfound Behavioral Health Hospital | $5,109 | — | — |
| Yakima Valley Memorial | $1,745 – $5,252 | — | — |
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
- $2,025 (fee)