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
Indiana
Hospital Address Code Price Last Updated
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L3904 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, L3904 $6,012 [source] 3 years ago
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L3904 $6,156 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L3904 $6,156 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L3904 $6,156 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L3904 $6,156 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L3904 $6,156 [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.