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 | $35.17 – $273 | $20.40 – $20.80 | $51.00 – $52.00 |
| Deaconess Medical Center | $18.95 – $170 | $20.40 | $51.00 |
| Harborview Medical Center | $65.31 – $81.64 | $49.56 – $50.01 | $70.80 – $71.44 |
| Kadlec Regional Medical Center | $61.55 – $115 | — | — |
| Mary Bridge Children's Hospital | $32.94 – $300 | $20.40 | $51.00 |
| MultiCare Auburn Medical Center | $34.20 – $176 | $20.40 | $51.00 |
| MultiCare Covington Medical Center | $34.20 – $176 | $20.40 | $51.00 |
| MultiCare Good Samaritan Hospital | $34.20 – $176 | $20.40 | $51.00 |
| MultiCare Valley Hospital | $18.95 – $170 | $20.40 | $51.00 |
| Overlake Hospital Medical Center & Clinics | $37.43 – $112 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $63.21 – $135 | — | — |
| Providence Centralia Hospital | $68.99 – $153 | — | — |
| Providence Regional Medical Center Everett | $48.98 – $94.70 | — | — |
| Providence St Peter Hospital | $34.70 – $133 | — | — |
| Seattle Children's Hospital | $74.57 – $133 | $138 | $138 |
| Swedish Edmonds Hospital | $61.23 – $150 | — | — |
| Swedish Issaquah | $61.23 – $90.62 | — | — |
| Swedish Medical Center | $61.23 – $146 | — | — |
| Swedish Medical Center / Cherry Hill | $61.23 – $146 | — | — |
| Tacoma General Allenmore Hospital | $34.20 – $176 | $20.40 | $51.00 |
| University of Washington Medical Ctr | $65.31 – $128 | $77.29 – $78.35 | $110 – $112 |
| Virginia Mason Medical Center | $39.08 – $142 | — | — |
| Wellfound Behavioral Health Hospital | $103 | — | — |
| Yakima Valley Memorial | $25.48 – $106 | $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)