Code: L3904

Description:
Description: Wrist hand finger orthosis, external powered, electric, custom fabricated
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
HC WHFO EXTERNAL POWERED ELECTRIC CUSTOM
WHFO ELECTRIC CUSTOM FITTED
Related codes:
Code: L3900
WRST/HND/FNGR W/F DRV CF
Code: L3901
WRST/HND/FNGR CBL DRV CF
Code: L3905
WRST/HND ORTHO W JNTS CF
Code: L3906
WRST/HND ORTH WO JNTS CF
Code: L3907
WHFO WRST GAUNTLT THMB SPICA
Code: L3908
BRACE WRST 8.5IN LG RT
Code: L3909
PREFAB WRIST ORTHOSIS
California
Hospital Address Code Price Last Updated
Encompass Health Rehabilitation Hospital Of Modesto 1303 Mable Avenue, Modesto L3904 $6,876 [source] 3 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara L3904 $7,200 [source] 3 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco L3904 $7,200 [source] 3 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills L3904 $7,200 [source] 3 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento L3904 $7,200 [source] 3 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch L3904 $7,200 [source] 3 years ago
Modesto Medical Center 4601 Dale Rd, Modesto L3904 $7,200 [source] 3 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville L3904 $7,200 [source] 3 years ago
San Leandro Medical Center 2500 Merced St, San Leandro L3904 $7,200 [source] 3 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek L3904 $7,200 [source] 3 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose L3904 $7,200 [source] 3 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento L3904 $7,200 [source] 3 years ago
Richmond Medical Center 901 Nevin Ave, Richmond L3904 $7,200 [source] 3 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon L3904 $7,200 [source] 3 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City L3904 $7,200 [source] 3 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo L3904 $7,200 [source] 3 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael L3904 $7,200 [source] 3 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco L3904 $7,200 [source] 3 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno L3904 $7,200 [source] 3 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville L3904 $7,200 [source] 3 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.