Code: L3906

Description:
Description: Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
HCPCS Category: Orthotic/prosthetic procedures
Other Descriptions:
Wrist Custom (ot)
Who W/o Joints Cf
HC WHO W/O JNT MAY INCL SFT INTRFCE STRAPS CSTM FAB
OT WRIST COCK UP
SPLNT WRST/HND GAUNT CSTM
OT WRIST COCK-UP
WHO NO JTS CUSTOM F&A
WRIST COCK-UP
HB WRIST CONTROL BRACE/MOLDED
Related codes:
Code: L3900
WRST/HND/FNGR W/F DRV CF
Code: L3901
WRST/HND/FNGR CBL DRV CF
Code: L3904
WRST/HND/FNGR ELECTRIC C
Code: L3905
WRST/HND ORTHO W 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
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville L3906 $781 [source] 3 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis L3906 $781 [source] 3 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon L3906 $781 [source] 3 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville L3906 $781 [source] 3 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport L3906 $781 [source] 3 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem L3906 $781 [source] 3 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood L3906 $781 [source] 3 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford L3906 $781 [source] 3 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester L3906 $781 [source] 3 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel L3906 $781 [source] 3 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson L3906 $781 [source] 3 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis L3906 $781 [source] 3 years ago
Encompass Health Deaconess Rehabilitation Hospital 9355 Warrick Trl, Newburgh L3906 $1,109 [source] 3 years ago
Franciscan Health Carmel , Carmel L3906 $1,600 [source] 3 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil L3906 $6,012 [source] 3 years ago
Ascension St Vincent Fishers 13861 Olio Road, L3906 $6,012 [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.