HCPCS L3925
Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), non torsion joint/spring, extension/flexion, may include soft interface material, prefabricated, off-the-shelf
Current code37 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $13.20 – $549 | $33.00 – $1,373 |
| Deaconess Medical Center | — | $13.20 – $549 | $33.00 – $1,373 |
| EvergreenHealth Medical Center | — | $120 | $150 |
| Harborview Medical Center | — | $59.63 – $61.05 | $85.18 – $87.22 |
| Highline Medical Center | — | $19.49 – $54.09 | $63.82 – $177 |
| Kadlec Regional Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $13.20 – $549 | $33.00 – $1,373 |
| MultiCare Auburn Medical Center | — | $13.20 – $549 | $33.00 – $1,373 |
| MultiCare Covington Medical Center | — | $13.20 – $549 | $33.00 – $1,373 |
| MultiCare Good Samaritan Hospital | — | $13.20 – $549 | $33.00 – $1,373 |
| MultiCare Valley Hospital | — | $13.20 – $549 | $33.00 – $1,373 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth St John Medical Center | $54.43 – $73.27 | $81.90 | $126 |
| PeaceHealth St Joseph Medical Center | $73.27 | $85.80 | $132 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Joseph Hospital | — | $60.90 | $87.00 |
| Providence St Mary Medical Center | — | $45.50 | $65.00 |
| Providence St Peter Hospital | — | — | — |
| St Anthony Hospital | — | $19.42 – $53.87 | $63.82 – $177 |
| St Clare Hospital | — | $18.40 – $51.06 | $63.82 – $177 |
| St Elizabeth Hospital | $10.85 – $36.67 | $22.56 – $62.59 | $63.82 – $177 |
| St Francis Community Hospital | — | $20.03 – $55.59 | $63.82 – $177 |
| St Joseph Medical Center | — | $21.14 – $58.66 | $63.82 – $177 |
| St Michael Medical Center | — | $28.17 – $78.17 | $63.82 – $177 |
| Swedish Edmonds Hospital | — | — | — |
| Swedish Issaquah | — | — | — |
| Swedish Medical Center | — | — | — |
| Swedish Medical Center / Cherry Hill | — | — | — |
| Tacoma General Allenmore Hospital | — | $13.20 – $549 | $33.00 – $1,373 |
| Three Rivers Hospital | $2.54 – $72.27 | $3.63 – $103 | $3.63 – $103 |
| University of Washington Medical Ctr | — | $108 | $155 |
| Virginia Mason Medical Center | — | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| WhidbeyHealth Medical Center | — | $85.00 | $85.00 |
| Yakima Valley Memorial | — | $8.00 – $374 | $20.00 – $934 |
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
- $69.78 (fee)