HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

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 L6616 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$97.60 – $1042 plans$48.80$122
Deaconess Medical CenterSpokaneFile dated 2026-08-27$86.62 – $89.062 plans$48.80$122
Harborview Medical CenterSeattleFile dated 2026-04-01—$115 – $117$164 – $167
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$79.79 – $97.606 plans$48.80$122
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$71.98 – $89.063 plans$48.80$122
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$71.98 – $89.063 plans$48.80$122
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$71.98 – $89.063 plans$48.80$122
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$87.842 plans$48.80$122
Seattle Children's HospitalSeattle$152 – $27098 plans$282$282
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$71.98 – $89.063 plans$48.80$122
University of Washington Medical CtrSeattleFile dated 2026-04-01—$148$212
Yakima Valley MemorialYakimaFile dated 2026-08-27$68.321 plan$48.80$122

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
$95.34 (fee)