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$933 – $7,23919 plans$552$1,380
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,296 – $4,5069 plans——
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$1,732 – $2,1652 plans$1,311 – $1,326$1,872 – $1,895
Highline Medical CenterBurienFile dated 2026-02-28$315 – $4,17511 plans$224$733
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,633 – $3,0415 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$933 – $7,9467 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$907 – $4,67717 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$907 – $4,67717 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,052 – $4,67712 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,037 – $4,49610 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$993 – $2,97810 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,677 – $3,5929 plans$1,266$1,808
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,830 – $4,0485 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,292$1,845
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,299 – $2,5127 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$920 – $3,5358 plans——
Seattle Children's HospitalSeattle$689 – $1,22498 plans$1,276$1,276
Skagit Valley HospitalMount Vernon$1,010 – $3,2169 plans$1,202$1,503
St Anthony HospitalGig HarborFile dated 2026-02-28$367 – $5,24811 plans$223$733
St Clare HospitalLakewoodFile dated 2026-02-28$367 – $5,24811 plans$211$733
St Elizabeth HospitalEnumclawFile dated 2026-02-28$244 – $5,24816 plans$259$733
St Francis Community HospitalFederal WayFile dated 2026-02-28$367 – $5,24811 plans$230$733
St Joseph Medical CenterTacomaFile dated 2026-02-28$367 – $5,24811 plans$243$733
St Michael Medical CenterSilverdaleFile dated 2026-02-28$469 – $4,76115 plans$324$733
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,624 – $3,9717 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,624 – $2,4037 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,624 – $3,8679 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,624 – $3,8679 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$907 – $4,67717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,732 – $3,3955 plans$1,468 – $1,499$2,097 – $2,142
Virginia Mason Medical CenterSeattle$1,037 – $3,7657 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,7321 plan——
WhidbeyHealth Medical CenterCoupeville—$575$575
Yakima Valley MemorialYakimaFile dated 2026-08-27$933 – $2,80813 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
$1,083 (fee)