HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Current code24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS L6615 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$133$333
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$133$333
Harborview Medical CenterSeattleFile dated 2026-04-01—$315 – $321$450 – $458
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$133$333
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$133$333
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$133$333
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$133$333
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$133$333
Seattle Children's HospitalSeattle$190 – $24112 plans$740$740
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$133$333
University of Washington Medical CtrSeattleFile dated 2026-04-01—$407$581
Yakima Valley MemorialYakimaFile dated 2026-08-27—$133$333

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$262 (fee)