HCPCS A6577
Gradient compression arm sleeve, custom, heavy weight, each
Current code16 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $158 – $174 | — | — |
| Deaconess Medical Center | $158 – $174 | — | — |
| Harborview Medical Center | $162 – $178 | — | — |
| Kadlec Regional Medical Center | $162 – $194 | — | — |
| Mary Bridge Children's Hospital | $158 – $174 | — | — |
| MultiCare Auburn Medical Center | $158 – $174 | — | — |
| MultiCare Covington Medical Center | $158 – $174 | — | — |
| MultiCare Good Samaritan Hospital | $158 – $174 | — | — |
| MultiCare Valley Hospital | $163 – $174 | — | — |
| Overlake Hospital Medical Center & Clinics | $162 – $168 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $162 – $194 | — | — |
| Tacoma General Allenmore Hospital | $158 – $174 | — | — |
| University of Washington Medical Ctr | $162 – $178 | — | — |
| Virginia Mason Medical Center | $110 – $165 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $158 – $177 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $162 (fee)