HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Current code23 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS L6055 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,420 – $26,53616 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,750 – $16,5179 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$6,350 – $7,9372 plans$4,862$6,945
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5,985 – $11,1485 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,420 – $29,1287 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,325 – $17,14717 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,325 – $17,14717 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,858 – $17,14712 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,800 – $16,48010 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,640 – $10,91910 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6,147 – $13,1669 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$6,707 – $14,8395 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4,762 – $9,2077 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,373 – $12,9588 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5,953 – $14,5597 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$5,953 – $8,8117 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$5,953 – $14,1759 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5,953 – $14,1759 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,325 – $17,14717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$6,350 – $12,4465 plans$6,133$8,761
Virginia Mason Medical CenterSeattle$3,800 – $13,8027 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$10,0151 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,420 – $10,29613 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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
$3,969 (fee)