HCPCS L3960

Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L3960 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$801 – $6,21316 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,112 – $3,8679 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,487 – $1,8592 plans$1,138$1,626
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,401 – $2,6105 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$801 – $6,8207 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$778 – $4,01517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$778 – $4,01517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$903 – $4,01512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$890 – $3,85910 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$852 – $2,55710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,439 – $3,0839 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,570 – $3,4745 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,115 – $2,1567 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$790 – $3,0348 plans——
Seattle Children's HospitalSeattle$1,698 – $3,01998 plans$3,145$3,145
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,394 – $3,4097 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,394 – $2,0637 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,394 – $3,3199 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,394 – $3,3199 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$778 – $4,01517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,487 – $2,9145 plans$1,593$2,275
Virginia Mason Medical CenterSeattle$890 – $3,2327 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$2,3451 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$801 – $2,41113 plans——

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
$929 (fee)