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
Deaconess Medical CenterSpokaneFile dated 2026-08-27———
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
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$357$446
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth St John Medical CenterLongview$274 – $3683 plans$109$167
PeaceHealth St Joseph Medical CenterBellingham$3682 plans$274$421
PeaceHealth United General Medical CenterSedro Woolley—$99.45$153
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$480$685
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$489$698
Providence Regional Medical Center EverettEverettFile dated 2026-04-01———
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$443$633
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$230$328
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon—$406$508
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$64.08 – $78.035 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
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01———
Swedish Medical CenterSeattleFile dated 2026-04-01———
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
University of Washington Medical CtrSeattleFile dated 2026-04-01—$501 – $505$715 – $722
Virginia Mason Medical CenterSeattle—$43.86$86.00
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$415$415
Yakima Valley MemorialYakimaFile dated 2026-08-27———

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)