HCPCS L6621
Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device
Current code23 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,369 – $18,380 | — | — |
| Deaconess Medical Center | $3,290 – $11,441 | — | — |
| Harborview Medical Center | $4,398 – $5,498 | $3,368 | $4,811 |
| Kadlec Regional Medical Center | $4,146 – $7,722 | — | — |
| Mary Bridge Children's Hospital | $2,369 – $20,175 | — | — |
| MultiCare Auburn Medical Center | $2,303 – $11,877 | — | — |
| MultiCare Covington Medical Center | $2,303 – $11,877 | — | — |
| MultiCare Good Samaritan Hospital | $2,672 – $11,877 | — | — |
| MultiCare Valley Hospital | $2,632 – $11,415 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,521 – $7,563 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $4,258 – $9,120 | — | — |
| Providence Centralia Hospital | $4,646 – $10,278 | — | — |
| Providence Regional Medical Center Everett | $3,299 – $6,378 | — | — |
| Providence St Peter Hospital | $2,337 – $8,975 | — | — |
| Swedish Edmonds Hospital | $4,123 – $10,084 | — | — |
| Swedish Issaquah | $4,123 – $6,103 | — | — |
| Swedish Medical Center | $4,123 – $9,819 | — | — |
| Swedish Medical Center / Cherry Hill | $4,123 – $9,819 | — | — |
| Tacoma General Allenmore Hospital | $2,303 – $11,877 | — | — |
| University of Washington Medical Ctr | $4,398 – $8,621 | — | — |
| Virginia Mason Medical Center | $2,632 – $9,560 | — | — |
| Wellfound Behavioral Health Hospital | $6,937 | — | — |
| Yakima Valley Memorial | $2,369 – $7,131 | — | — |
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
- $2,749 (fee)