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See a sample rate comparisonHCPCS L3917 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.
Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additional Miscellaneous Orthotics, Upper Extremities |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3917 |
National average reimbursement for HCPCS L3917 by major payers:
$94.64
$61.90
$67.75
$135.94
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HCPCS L3917
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$206.89Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$62.22Published rateJefferson Kilpatrick
Pinehurst Surgical Clinic, P.A.
$51.61Published rateCindy Chang
Miguel A Arenas Md PC
$49.31Published rateChristopher Raio
St Francis Hospital
$33.85Published rate
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See a sample payer proposalHCPCS L3917 vs. Other Additional Miscellaneous Orthotics, Upper Extremities Codes
The HCPCS L3917 code is part of the Orthotic Procedures and services services used for Additional Miscellaneous Orthotics, Upper Extremities. 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 L3917 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.
| Code | Complexity | Description |
|---|---|---|
| L3916-HCPCS | Moderate | Wrist hand orthosis (WHO), includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
| L3917-HCPCS | Low | Hand orthosis (HO), metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L3918-HCPCS | Low | Hand orthosis (HO), metacarpal fracture orthosis, 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 L3917. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3917 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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