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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,984 – $2,182 | $1,032 | $2,580 |
| Deaconess Medical Center | $1,984 – $2,182 | — | — |
| Harborview Medical Center | $2,025 – $2,227 | $2,480 | $3,543 |
| Kadlec Regional Medical Center | $2,025 – $2,429 | — | — |
| Mary Bridge Children's Hospital | $1,984 – $2,182 | — | — |
| MultiCare Auburn Medical Center | $1,984 – $2,182 | — | — |
| MultiCare Covington Medical Center | $1,984 – $2,182 | — | — |
| MultiCare Good Samaritan Hospital | $1,984 – $2,182 | — | — |
| MultiCare Valley Hospital | $2,044 – $2,182 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,025 – $2,106 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,025 – $2,429 | — | — |
| Providence Centralia Hospital | $2,025 – $3,239 | — | — |
| Providence Regional Medical Center Everett | $2,025 – $2,227 | — | — |
| Providence St Mary Medical Center | — | $1,327 | $1,895 |
| Providence St Peter Hospital | $2,025 – $3,239 | — | — |
| Swedish Edmonds Hospital | $2,025 – $2,429 | — | — |
| Swedish Issaquah | $2,025 – $2,429 | — | — |
| Swedish Medical Center | $2,025 – $2,429 | — | — |
| Swedish Medical Center / Cherry Hill | $2,025 – $2,429 | — | — |
| Tacoma General Allenmore Hospital | $1,984 – $2,182 | — | — |
| University of Washington Medical Ctr | $2,025 – $2,227 | $2,643 | $3,776 |
| Virginia Mason Medical Center | $1,389 – $2,084 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $1,984 – $2,222 | — | — |
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)