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HCPCS L3906 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Wrist hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
Key FactDetail
Service Type

Orthotic Procedures and services

Wrist-hand Orthotics

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for L3906

National average reimbursement for HCPCS L3906 by major payers:

bcbs

$397.29

uhc

$261.92

aetna

$305.93

cigna

$642.69

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS L3906.

HCPCS L3906
5 of 25 sample ratesHigher to lower in this preview
  1. Lars Nelson

    Florida Clinical Practice Association Inc

    FLSurgery PhysicianNPI 1780813592Tax ID 59-1680273

    $1,054.21Published rate
  2. Napoleon Bequer

    Napoleon G Bequer Md PA

    FLOtolaryngology PhysicianNPI 1104843283Tax ID 59-2723885

    $232.02Published rate
  3. Matthew Bagan

    FLSurgery PhysicianNPI 1407819295Tax ID 59-2485899

    $224.77Published rate
  4. Mary Pentel

    Southside Dermatology PA

    FLDermatology PhysicianNPI 1588677058Tax ID 52-2236177

    $217.32Published rate
  5. Dan Tran

    Florida Hospital Medical Group Inc

    FLSurgery PhysicianNPI 1215972336Tax ID 59-3214635

    $203.30Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS L3906 vs. Other Wrist-hand Orthotics Codes

The HCPCS L3906 code is part of the Orthotic Procedures and services services used for Wrist-hand Orthotics. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS L3906 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
L3905-HCPCSModerateWrist hand orthosis (WHO), includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
L3906-HCPCSModerateWrist hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment
L3908-HCPCSLowWrist hand orthosis (WHO), wrist extension control cock-up, non molded, prefabricated, off-the-shelf

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3906. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L3906 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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