HCPCS L3921

Hand finger orthosis, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Current code41 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L3921 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$179$447
EvergreenHealth Medical CenterKirkland—$470$587
EvergreenHealth MonroeMonroe$3611 plan$347$434
Harborview Medical CenterSeattleFile dated 2026-04-01—$427 – $430$609 – $614
Highline Medical CenterBurienFile dated 2026-02-28—$115$377
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$288$411
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$357$446
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$480$685
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$489$698
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$443$633
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$230$328
St Anthony HospitalGig HarborFile dated 2026-02-28—$115$377
St Clare HospitalLakewoodFile dated 2026-02-28—$109$377
St Elizabeth HospitalEnumclawFile dated 2026-02-28$106 – $1255 plans$133$377
St Francis Community HospitalFederal WayFile dated 2026-02-28—$118$377
St Joseph Medical CenterTacomaFile dated 2026-02-28—$125$377
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$166$377
University of Washington Medical CtrSeattleFile dated 2026-04-01—$501 – $505$715 – $722
Virginia Mason Medical CenterSeattle—$43.86$86.00

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
$351 (fee)