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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L6615 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$256 – $2826 plans$133$333
Deaconess Medical CenterSpokaneFile dated 2026-08-27$256 – $2828 plans$133$333
Harborview Medical CenterSeattleFile dated 2026-04-01$262 – $2885 plans$315 – $321$450 – $458
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$262 – $3147 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$256 – $2827 plans$133$333
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$256 – $2827 plans$133$333
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$256 – $2827 plans$133$333
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$256 – $2827 plans$133$333
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$264 – $2827 plans$133$333
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$262 – $2723 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$262 – $3147 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$262 – $4197 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$262 – $2886 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$262 – $4197 plans——
Seattle Children's HospitalSeattle—$740$740
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$262 – $3148 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$262 – $3148 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$262 – $3148 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$262 – $3148 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$256 – $2827 plans$133$333
University of Washington Medical CtrSeattleFile dated 2026-04-01$262 – $2885 plans$407$581
Virginia Mason Medical CenterSeattle$180 – $2699 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$256 – $2878 plans$133$333

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
$262 (fee)