HCPCS L6628
Upper extremity addition, quick disconnect hook adapter, otto bock or equal
Current code24 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 | $610 – $4,734 | — | — |
| Deaconess Medical Center | $847 – $2,947 | — | — |
| Harborview Medical Center | $1,133 – $1,416 | $867 | $1,239 |
| Kadlec Regional Medical Center | $1,068 – $1,989 | — | — |
| Mary Bridge Children's Hospital | $610 – $5,196 | — | — |
| MultiCare Auburn Medical Center | $593 – $3,059 | — | — |
| MultiCare Covington Medical Center | $593 – $3,059 | — | — |
| MultiCare Good Samaritan Hospital | $688 – $3,059 | — | — |
| MultiCare Valley Hospital | $678 – $2,940 | — | — |
| Overlake Hospital Medical Center & Clinics | $649 – $1,948 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $1,097 – $2,349 | — | — |
| Providence Centralia Hospital | $1,197 – $2,647 | — | — |
| Providence Regional Medical Center Everett | $850 – $1,643 | — | — |
| Providence St Peter Hospital | $602 – $2,312 | — | — |
| Seattle Children's Hospital | $1,078 – $1,916 | $1,996 | $1,996 |
| Swedish Edmonds Hospital | $1,062 – $2,597 | — | — |
| Swedish Issaquah | $1,062 – $1,572 | — | — |
| Swedish Medical Center | $1,062 – $2,529 | — | — |
| Swedish Medical Center / Cherry Hill | $1,062 – $2,529 | — | — |
| Tacoma General Allenmore Hospital | $593 – $3,059 | — | — |
| University of Washington Medical Ctr | $1,133 – $2,220 | $1,095 | $1,565 |
| Virginia Mason Medical Center | $678 – $2,462 | — | — |
| Wellfound Behavioral Health Hospital | $1,787 | — | — |
| Yakima Valley Memorial | $610 – $1,837 | — | — |
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
- $708 (fee)