HCPCS L3931

Wrist hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, includes fitting and adjustment

Current code33 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L3931 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$206 – $2276 plans$92.80 – $261$232 – $652
Deaconess Medical CenterSpokaneFile dated 2026-08-27$206 – $2278 plans$92.80 – $261$232 – $652
Harborview Medical CenterSeattleFile dated 2026-04-01$210 – $2315 plans$258$368
Highline Medical CenterBurienFile dated 2026-02-28—$155$508
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$210 – $2527 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$18.85$29.00
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$206 – $2277 plans$92.80 – $261$232 – $652
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$206 – $2277 plans$92.80 – $261$232 – $652
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$206 – $2277 plans$92.80 – $261$232 – $652
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$206 – $2277 plans$92.80 – $261$232 – $652
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$212 – $2277 plans$92.80 – $261$232 – $652
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$210 – $2193 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$210 – $2527 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$210 – $3377 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$210 – $2316 plans——
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$46.20$66.00
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$138$197
Providence St Peter HospitalOlympiaFile dated 2026-04-01$210 – $3377 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28—$154$508
St Clare HospitalLakewoodFile dated 2026-02-28—$146$508
St Elizabeth HospitalEnumclawFile dated 2026-02-28$91.36 – $11212 plans$179$508
St Francis Community HospitalFederal WayFile dated 2026-02-28—$159$508
St Joseph Medical CenterTacomaFile dated 2026-02-28—$168$508
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$224$508
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$210 – $2528 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$210 – $2528 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$210 – $2528 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$210 – $2528 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$206 – $2277 plans$92.80 – $261$232 – $652
University of Washington Medical CtrSeattleFile dated 2026-04-01$210 – $2315 plans$332$474
Virginia Mason Medical CenterSeattle$144 – $2179 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$206 – $2318 plans$33.20 – $170$83.00 – $425

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
$210 (fee)