HCPCS L3995
Addition to upper extremity orthosis, sock, fracture or equal, each
Current code24 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $40.80 – $44.20 | $20.40 – $20.80 | $51.00 – $52.00 |
| Deaconess Medical Center | $36.21 – $37.23 | $20.40 | $51.00 |
| Harborview Medical Center | — | $49.56 – $50.01 | $70.80 – $71.44 |
| Mary Bridge Children's Hospital | $33.35 – $40.80 | $20.40 | $51.00 |
| MultiCare Auburn Medical Center | $30.09 – $37.23 | $20.40 | $51.00 |
| MultiCare Covington Medical Center | $30.09 – $37.23 | $20.40 | $51.00 |
| MultiCare Good Samaritan Hospital | $30.09 – $37.23 | $20.40 | $51.00 |
| MultiCare Valley Hospital | $36.72 | $20.40 | $51.00 |
| Seattle Children's Hospital | $74.57 – $133 | $138 | $138 |
| Tacoma General Allenmore Hospital | $30.09 – $37.23 | $20.40 | $51.00 |
| University of Washington Medical Ctr | — | $77.29 – $78.35 | $110 – $112 |
| Yakima Valley Memorial | $29.12 | $20.80 | $52.00 |
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
- $40.82 (fee)