HCPCS L6120

Below elbow, molded double wall split socket, step-up hinges, half cuff

Current code24 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 L6120 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,164 – $24,55116 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4,394 – $15,2829 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$5,875 – $7,3442 plans$4,498$6,426
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$5,537 – $10,3145 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,164 – $26,9497 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,076 – $15,86417 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,076 – $15,86417 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,569 – $15,86412 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,515 – $15,24710 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,367 – $10,10210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5,687 – $12,1819 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$6,205 – $13,7295 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$4,406 – $8,5197 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,121 – $11,9898 plans——
Seattle Children's HospitalSeattle$5,546 – $9,85998 plans$10,270$10,270
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5,508 – $13,4697 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$5,508 – $8,1527 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$5,508 – $13,1159 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5,508 – $13,1159 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,076 – $15,86417 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$5,875 – $11,5155 plans——
Virginia Mason Medical CenterSeattle$3,515 – $12,7707 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$9,2661 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,164 – $9,52513 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
$3,672 (fee)