HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, 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 L6130 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,641 – $28,25416 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$5,057 – $17,5869 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$6,761 – $8,4512 plans$5,176$7,395
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$6,373 – $11,8705 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,641 – $31,0137 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,540 – $18,25717 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,540 – $18,25717 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$4,108 – $18,25712 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4,046 – $17,54710 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,875 – $11,62610 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$6,545 – $14,0199 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$7,141 – $15,8005 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5,071 – $9,8037 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,592 – $13,7978 plans——
Seattle Children's HospitalSeattle$6,379 – $11,34198 plans$11,814$11,814
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$6,338 – $15,5017 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$6,338 – $9,3817 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$6,338 – $15,0939 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$6,338 – $15,0939 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,540 – $18,25717 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$6,761 – $13,2525 plans——
Virginia Mason Medical CenterSeattle$4,046 – $14,6967 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$10,6631 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,641 – $10,96213 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
$4,226 (fee)