HCPCS L3917
Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
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 | $99.41 – $771 | $174 | $436 |
| Deaconess Medical Center | $110 – $480 | $174 | $436 |
| Harborview Medical Center | $185 – $231 | $141 | $202 |
| Kadlec Regional Medical Center | $174 – $324 | — | — |
| Mary Bridge Children's Hospital | $96.65 – $847 | $174 | $436 |
| MultiCare Auburn Medical Center | $96.65 – $498 | $174 | $436 |
| MultiCare Covington Medical Center | $96.65 – $498 | $174 | $436 |
| MultiCare Good Samaritan Hospital | $96.65 – $498 | $174 | $436 |
| MultiCare Valley Hospital | $110 – $479 | $174 | $436 |
| Overlake Hospital Medical Center & Clinics | $106 – $317 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $179 – $383 | — | — |
| Providence Centralia Hospital | $195 – $431 | — | — |
| Providence Regional Medical Center Everett | $138 – $268 | — | — |
| Providence St Peter Hospital | $98.06 – $377 | — | — |
| Swedish Edmonds Hospital | $173 – $423 | — | — |
| Swedish Issaquah | $173 – $256 | — | — |
| Swedish Medical Center | $173 – $412 | — | — |
| Swedish Medical Center / Cherry Hill | $173 – $412 | — | — |
| Tacoma General Allenmore Hospital | $96.65 – $498 | $174 | $436 |
| University of Washington Medical Ctr | $185 – $362 | — | — |
| Virginia Mason Medical Center | $110 – $401 | — | — |
| Wellfound Behavioral Health Hospital | $291 | — | — |
| Yakima Valley Memorial | $99.41 – $299 | $109 | $273 |
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
- $115 (fee)