Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC WRIST HAND ORTHOSIS, W/O JOINTS, CUSTOM FABRICATED
Edina, MN
See all hospitals reporting HCPCS L3906 →Price type
Fairview Health Services’s median price of $831 is 78% above the median hospital's median price ($467), higher than 92% of the 1,408 hospitals reporting HCPCS L3906. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 43 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 2 | Bcbs Mn aware federal fee schedule · both | $516 | $516 | — | — | — | $516 – $516 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $525 | $525 | — | — | — | $525 – $525 |
| 4 | Medica managed medicaid/accessability fee schedule · both | $543 | $543 | — | — | — | $543 – $543 |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $547 | $547 | — | — | — | $547 – $547 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $547 | $547 | — | — | — | $547 – $547 |
| 7 | WellCare medicare advantage fee schedule · outpatient | $547 | $547 | — | — | — | $547 – $547 |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $555 | $555 | — | — | — | $555 – $555 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $569 | $569 | — | — | — | $569 – $569 |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $580 | $580 | — | — | — | $580 – $580 |
| 11 | Ucare pmap fee schedule · outpatient | $584 | $584 | — | — | — | $584 – $584 |
| 12 | Medica medicare advantage non-snp fee schedule · both | $589 | $589 | — | — | — | $589 – $589 |
| 13 | Bcbs Mn pmap fee schedule · both | $591 | $591 | — | — | — | $591 – $591 |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $593 | $593 | — | — | — | $593 – $593 |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $600 | $600 | — | — | — | $600 – $600 |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 17 | Ucare pmap fee schedule · both | $605 | $605 | — | — | — | $605 – $605 |
| 18 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $612 | $612 | $58 | 9% | — | $554 – $670 |
| 19 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $612 | $612 | $58 | 9% | — | $554 – $670 |
| 20 | UnitedHealthcare core percent of total billed charges · inpatientfrom % of charges | $612 | $612 | $58 | 9% | — | $554 – $670 |
| 21 | UnitedHealthcare core percent of total billed charges · outpatientfrom % of charges | $612 | $612 | $58 | 9% | — | $554 – $670 |
| 22 | Medica managed medicaid/accessability fee schedule · outpatient | $667 | $667 | — | — | — | $667 – $667 |
| 23 | Medica msho/medicare advantage snp fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 24 | Sanford Health Plan commercial percent of total billed charges · inpatientfrom % of charges | $901 | $901 | $85 | 9% | — | $816 – $986 |
| 25 | Sanford Health Plan commercial percent of total billed charges · outpatientfrom % of charges | $901 | $901 | $85 | 9% | — | $816 – $986 |
Last updated: Feb 6, 2026
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