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 | $113 – $124 | $174 | $436 |
| Deaconess Medical Center | $113 – $124 | $174 | $436 |
| Harborview Medical Center | $115 – $127 | $141 | $202 |
| Kadlec Regional Medical Center | $115 – $138 | — | — |
| Mary Bridge Children's Hospital | $113 – $124 | $174 | $436 |
| MultiCare Auburn Medical Center | $113 – $124 | $174 | $436 |
| MultiCare Covington Medical Center | $113 – $124 | $174 | $436 |
| MultiCare Good Samaritan Hospital | $113 – $124 | $174 | $436 |
| MultiCare Valley Hospital | $116 – $124 | $174 | $436 |
| Overlake Hospital Medical Center & Clinics | $115 – $120 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $115 – $138 | — | — |
| Providence Centralia Hospital | $115 – $185 | — | — |
| Providence Regional Medical Center Everett | $115 – $127 | — | — |
| Providence St Peter Hospital | $115 – $185 | — | — |
| Swedish Edmonds Hospital | $115 – $138 | — | — |
| Swedish Issaquah | $115 – $138 | — | — |
| Swedish Medical Center | $115 – $138 | — | — |
| Swedish Medical Center / Cherry Hill | $115 – $138 | — | — |
| Tacoma General Allenmore Hospital | $113 – $124 | $174 | $436 |
| University of Washington Medical Ctr | $115 – $127 | — | — |
| Virginia Mason Medical Center | $79.18 – $119 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $113 – $127 | $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)