HCPCS L3995
Addition to upper extremity orthosis, sock, fracture or equal, each
Current code24 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $40.00 – $44.00 | $20.40 – $20.80 | $51.00 – $52.00 |
| Deaconess Medical Center | $40.00 – $44.00 | $20.40 | $51.00 |
| Harborview Medical Center | $40.82 – $44.90 | $49.56 – $50.01 | $70.80 – $71.44 |
| Kadlec Regional Medical Center | $40.82 – $48.98 | — | — |
| Mary Bridge Children's Hospital | $40.00 – $44.00 | $20.40 | $51.00 |
| MultiCare Auburn Medical Center | $40.00 – $44.00 | $20.40 | $51.00 |
| MultiCare Covington Medical Center | $40.00 – $44.00 | $20.40 | $51.00 |
| MultiCare Good Samaritan Hospital | $40.00 – $44.00 | $20.40 | $51.00 |
| MultiCare Valley Hospital | $41.20 – $44.00 | $20.40 | $51.00 |
| Overlake Hospital Medical Center & Clinics | $40.82 – $42.45 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $40.82 – $48.98 | — | — |
| Providence Centralia Hospital | $40.82 – $65.31 | — | — |
| Providence Regional Medical Center Everett | $40.82 – $44.90 | — | — |
| Providence St Peter Hospital | $40.82 – $65.31 | — | — |
| Seattle Children's Hospital | — | $138 | $138 |
| Swedish Edmonds Hospital | $40.82 – $48.98 | — | — |
| Swedish Issaquah | $40.82 – $48.98 | — | — |
| Swedish Medical Center | $40.82 – $48.98 | — | — |
| Swedish Medical Center / Cherry Hill | $40.82 – $48.98 | — | — |
| Tacoma General Allenmore Hospital | $40.00 – $44.00 | $20.40 | $51.00 |
| University of Washington Medical Ctr | $40.82 – $44.90 | $77.29 – $78.35 | $110 – $112 |
| Virginia Mason Medical Center | $28.01 – $42.02 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $40.00 – $44.80 | $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)