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

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 L3917 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$349 – $3712 plans$174$436
Deaconess Medical CenterSpokaneFile dated 2026-08-27$310 – $3182 plans$174$436
Harborview Medical CenterSeattleFile dated 2026-04-01—$141$202
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$285 – $3496 plans$174$436
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$257 – $3183 plans$174$436
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$257 – $3183 plans$174$436
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$257 – $3183 plans$174$436
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3142 plans$174$436
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$257 – $3183 plans$174$436
Yakima Valley MemorialYakimaFile dated 2026-08-27$1531 plan$109$273

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
$115 (fee)