# HCPCS L3809: Wrist-hand-finger orthosis, without joints, prefabricated

Medicare HCPCS L3809 pays $279.30 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $272.97 in West Virginia to $327.59 in Puerto Rico, a 20% spread.

Web page: https://www.med-reveal.com/rates/L3809-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $279.30 |
| National facility | $279.30 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $327.59 | $327.59 |
| Virgin Islands | $327.59 | $327.59 |
| Colorado | $282.70 | $282.70 |
| Montana | $282.70 | $282.70 |
| North Dakota | $282.70 | $282.70 |
| South Dakota | $282.70 | $282.70 |
| Utah | $282.70 | $282.70 |
| Wyoming | $282.70 | $282.70 |
| Alabama | $281.19 | $281.19 |
| Florida | $281.19 | $281.19 |
| Georgia | $281.19 | $281.19 |
| Kentucky | $281.19 | $281.19 |
| Mississippi | $281.19 | $281.19 |
| North Carolina | $281.19 | $281.19 |
| South Carolina | $281.19 | $281.19 |
| Tennessee | $281.19 | $281.19 |
| Arkansas | $281.17 | $281.17 |
| Louisiana | $281.17 | $281.17 |
| New Mexico | $281.17 | $281.17 |
| Oklahoma | $281.17 | $281.17 |
| Texas | $281.17 | $281.17 |
| Illinois | $279.67 | $279.67 |
| Indiana | $279.67 | $279.67 |
| Michigan | $279.67 | $279.67 |
| Minnesota | $279.67 | $279.67 |
| Ohio | $279.67 | $279.67 |
| Wisconsin | $279.67 | $279.67 |
| Iowa | $278.25 | $278.25 |
| Kansas | $278.25 | $278.25 |
| Missouri | $278.25 | $278.25 |
| Nebraska | $278.25 | $278.25 |
| Alaska | $272.97 | $272.97 |
| Arizona | $272.97 | $272.97 |
| California | $272.97 | $272.97 |
| Connecticut | $272.97 | $272.97 |
| Delaware | $272.97 | $272.97 |
| District of Columbia | $272.97 | $272.97 |
| Hawaii | $272.97 | $272.97 |
| Idaho | $272.97 | $272.97 |
| Maine | $272.97 | $272.97 |
| Maryland | $272.97 | $272.97 |
| Massachusetts | $272.97 | $272.97 |
| Nevada | $272.97 | $272.97 |
| New Hampshire | $272.97 | $272.97 |
| New Jersey | $272.97 | $272.97 |
| New York | $272.97 | $272.97 |
| Oregon | $272.97 | $272.97 |
| Pennsylvania | $272.97 | $272.97 |
| Rhode Island | $272.97 | $272.97 |
| Vermont | $272.97 | $272.97 |
| Virginia | $272.97 | $272.97 |
| Washington | $272.97 | $272.97 |
| West Virginia | $272.97 | $272.97 |

## Related codes

- L0112: Cranial cervical orthosis, congenital torticollis type — https://www.med-reveal.com/rates/L0112-hcpcs-fee-schedule
- L0140: Cervical, semi-rigid, thermoplastic collar, molded to patient — https://www.med-reveal.com/rates/L0140-hcpcs-fee-schedule
- L0450: Thoracic-lumbar-sacral orthosis (TLSO), flexible, provides trunk support — https://www.med-reveal.com/rates/L0450-hcpcs-fee-schedule
- L0500: Thoracic-lumbar-sacral orthosis (TLSO), rigid, custom fitted — https://www.med-reveal.com/rates/L0500-hcpcs-fee-schedule
- L0621: Sacroiliac orthosis, flexible, provides pelvic-sacral support — https://www.med-reveal.com/rates/L0621-hcpcs-fee-schedule
- L0630: Lumbar-sacral orthosis, sagittal control, rigid posterior panel — https://www.med-reveal.com/rates/L0630-hcpcs-fee-schedule
- L0810: Addition to halo procedure, cervical collar with attachment — https://www.med-reveal.com/rates/L0810-hcpcs-fee-schedule
- L1000: Cervical-thoracic-lumbar-sacral orthosis, anterior-posterior-lateral control — https://www.med-reveal.com/rates/L1000-hcpcs-fee-schedule

Commercial negotiated rates for L3809 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules