HCPCS L6584

Preparatory, elbow disarticulation or above elbow, single wall plastic socket, friction wrist, locking elbow, figure of eight harness, fair lead cable control, usmc or equal pylon, no cover, molded to patient model

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 L6584 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$2,566 – $19,90916 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,563 – $12,3929 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$4,764 – $5,9552 plans$3,648$5,211
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$4,490 – $8,3645 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2,566 – $21,8537 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$2,494 – $12,86517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$2,494 – $12,86517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$2,895 – $12,86512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$2,851 – $12,36410 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2,731 – $8,19210 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$4,612 – $9,8789 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$5,032 – $11,1335 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$3,573 – $6,9087 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2,531 – $9,7228 plans——
Seattle Children's HospitalSeattle$4,497 – $7,99598 plans$8,328$8,328
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$4,466 – $10,9237 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$4,466 – $6,6107 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$4,466 – $10,6359 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$4,466 – $10,6359 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$2,494 – $12,86517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$4,764 – $9,3385 plans——
Virginia Mason Medical CenterSeattle$2,851 – $10,3557 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$7,5141 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$2,566 – $7,72413 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
$2,978 (fee)