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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $174 | $436 |
| Deaconess Medical Center | — | $174 | $436 |
| Harborview Medical Center | — | $141 | $202 |
| Mary Bridge Children's Hospital | — | $174 | $436 |
| MultiCare Auburn Medical Center | — | $174 | $436 |
| MultiCare Covington Medical Center | — | $174 | $436 |
| MultiCare Good Samaritan Hospital | — | $174 | $436 |
| MultiCare Valley Hospital | — | $174 | $436 |
| Tacoma General Allenmore Hospital | — | $174 | $436 |
| Yakima Valley Memorial | — | $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)