HCPCS L3905

Wrist hand orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Current code36 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 L3905 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,104 – $1,1732 plans$552$1,380
EvergreenHealth Medical CenterKirkland$580 – $3,96228 plans$1,450$1,812
EvergreenHealth MonroeMonroe$1,037 – $1,94917 plans$1,450$1,812
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,311 – $1,326$1,872 – $1,895
Highline Medical CenterBurienFile dated 2026-02-28$315 – $6605 plans$224$733
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,266$1,808
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,292$1,845
Seattle Children's HospitalSeattle$689 – $1,22498 plans$1,276$1,276
St Anthony HospitalGig HarborFile dated 2026-02-28$403 – $5503 plans$223$733
St Clare HospitalLakewoodFile dated 2026-02-28$403 – $5503 plans$211$733
St Elizabeth HospitalEnumclawFile dated 2026-02-28$293 – $6606 plans$259$733
St Francis Community HospitalFederal WayFile dated 2026-02-28$403 – $5503 plans$230$733
St Joseph Medical CenterTacomaFile dated 2026-02-28$403 – $5503 plans$243$733
St Michael Medical CenterSilverdaleFile dated 2026-02-28$462 – $66010 plans$324$733
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,468 – $1,499$2,097 – $2,142

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$1,083 (fee)