HCPCS L6642
Upper extremity addition, excursion amplifier, lever type
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 | $245 – $1,901 | — | — |
| Deaconess Medical Center | $340 – $1,183 | — | — |
| Harborview Medical Center | $455 – $569 | $348 | $498 |
| Kadlec Regional Medical Center | $429 – $799 | — | — |
| Mary Bridge Children's Hospital | $245 – $2,087 | — | — |
| MultiCare Auburn Medical Center | $238 – $1,228 | — | — |
| MultiCare Covington Medical Center | $238 – $1,228 | — | — |
| MultiCare Good Samaritan Hospital | $276 – $1,228 | — | — |
| MultiCare Valley Hospital | $272 – $1,181 | — | — |
| Overlake Hospital Medical Center & Clinics | $261 – $782 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $440 – $943 | — | — |
| Providence Centralia Hospital | $480 – $1,063 | — | — |
| Providence Regional Medical Center Everett | $341 – $660 | — | — |
| Providence St Peter Hospital | $242 – $928 | — | — |
| Swedish Edmonds Hospital | $426 – $1,043 | — | — |
| Swedish Issaquah | $426 – $631 | — | — |
| Swedish Medical Center | $426 – $1,015 | — | — |
| Swedish Medical Center / Cherry Hill | $426 – $1,015 | — | — |
| Tacoma General Allenmore Hospital | $238 – $1,228 | — | — |
| University of Washington Medical Ctr | $455 – $892 | — | — |
| Virginia Mason Medical Center | $272 – $989 | — | — |
| Wellfound Behavioral Health Hospital | $717 | — | — |
| Yakima Valley Memorial | $245 – $738 | — | — |
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
- $284 (fee)