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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $2,694 – $2,963 | — | — |
| Deaconess Medical Center | $2,694 – $2,963 | — | — |
| Harborview Medical Center | $2,749 – $3,024 | $3,368 | $4,811 |
| Kadlec Regional Medical Center | $2,749 – $3,299 | — | — |
| Mary Bridge Children's Hospital | $2,694 – $2,963 | — | — |
| MultiCare Auburn Medical Center | $2,694 – $2,963 | — | — |
| MultiCare Covington Medical Center | $2,694 – $2,963 | — | — |
| MultiCare Good Samaritan Hospital | $2,694 – $2,963 | — | — |
| MultiCare Valley Hospital | $2,775 – $2,963 | — | — |
| Overlake Hospital Medical Center & Clinics | $2,749 – $2,859 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,749 – $3,299 | — | — |
| Providence Centralia Hospital | $2,749 – $4,398 | — | — |
| Providence Regional Medical Center Everett | $2,749 – $3,024 | — | — |
| Providence St Peter Hospital | $2,749 – $4,398 | — | — |
| Swedish Edmonds Hospital | $2,749 – $3,299 | — | — |
| Swedish Issaquah | $2,749 – $3,299 | — | — |
| Swedish Medical Center | $2,749 – $3,299 | — | — |
| Swedish Medical Center / Cherry Hill | $2,749 – $3,299 | — | — |
| Tacoma General Allenmore Hospital | $2,694 – $2,963 | — | — |
| University of Washington Medical Ctr | $2,749 – $3,024 | — | — |
| Virginia Mason Medical Center | $1,887 – $2,830 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $2,694 – $3,017 | — | — |
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)