HCPCS L6580

Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model

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 L6580 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,900 – $14,74516 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$2,639 – $9,1789 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$3,529 – $4,4112 plans$2,702$3,859
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$3,326 – $6,1955 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,900 – $16,1857 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,847 – $9,52817 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,847 – $9,52817 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,144 – $9,52812 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,111 – $9,15810 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,022 – $6,06710 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,416 – $7,3169 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,727 – $8,2465 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2,646 – $5,1167 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,875 – $7,2008 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,308 – $8,0907 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,308 – $4,8967 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,308 – $7,8779 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,308 – $7,8779 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,847 – $9,52817 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,529 – $6,9165 plans——
Virginia Mason Medical CenterSeattle$2,111 – $7,6707 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5,5651 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,900 – $5,72113 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
$2,205 (fee)