HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, otto bock or equal

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 L6629 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$155 – $1,20016 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$215 – $7479 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$287 – $3592 plans$217 – $220$310 – $314
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$271 – $5045 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$155 – $1,3177 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$150 – $77517 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$150 – $77517 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$174 – $77512 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$172 – $74510 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$165 – $49410 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$278 – $5959 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$303 – $6715 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$215 – $4167 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$153 – $5868 plans——
Seattle Children's HospitalSeattle$279 – $49598 plans$516$516
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$269 – $6587 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$269 – $3987 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$269 – $6419 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$269 – $6419 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$150 – $77517 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$287 – $5635 plans$279$398
Virginia Mason Medical CenterSeattle$172 – $6247 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4531 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$155 – $46513 plans——

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
$179 (fee)