HCPCS L3904
Wrist hand finger orthosis, external powered, electric, custom fabricated
Current code23 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 | $2,837 – $22,018 | — | — |
| Deaconess Medical Center | $3,941 – $13,705 | — | — |
| Harborview Medical Center | $5,269 – $6,586 | $4,034 | $5,763 |
| Kadlec Regional Medical Center | $4,966 – $9,250 | — | — |
| Mary Bridge Children's Hospital | $2,837 – $24,168 | — | — |
| MultiCare Auburn Medical Center | $2,759 – $14,227 | — | — |
| MultiCare Covington Medical Center | $2,759 – $14,227 | — | — |
| MultiCare Good Samaritan Hospital | $3,201 – $14,227 | — | — |
| MultiCare Valley Hospital | $3,153 – $13,674 | — | — |
| Overlake Hospital Medical Center & Clinics | $3,020 – $9,060 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,100 – $10,924 | — | — |
| Providence Centralia Hospital | $5,565 – $12,312 | — | — |
| Providence Regional Medical Center Everett | $3,952 – $7,640 | — | — |
| Providence St Peter Hospital | $2,799 – $10,752 | — | — |
| Swedish Edmonds Hospital | $4,939 – $12,080 | — | — |
| Swedish Issaquah | $4,939 – $7,310 | — | — |
| Swedish Medical Center | $4,939 – $11,762 | — | — |
| Swedish Medical Center / Cherry Hill | $4,939 – $11,762 | — | — |
| Tacoma General Allenmore Hospital | $2,759 – $14,227 | — | — |
| University of Washington Medical Ctr | $5,269 – $10,327 | — | — |
| Virginia Mason Medical Center | $3,153 – $11,452 | — | — |
| Wellfound Behavioral Health Hospital | $8,310 | — | — |
| Yakima Valley Memorial | $2,837 – $8,542 | — | — |
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
- $3,293 (fee)