HCPCS L6665
Upper extremity addition, teflon, or equal, cable lining
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 | $52.01 – $404 | — | — |
| Deaconess Medical Center | $72.24 – $251 | — | — |
| Harborview Medical Center | $96.58 – $121 | $73.08 – $73.94 | $104 – $106 |
| Kadlec Regional Medical Center | $91.04 – $170 | — | — |
| Mary Bridge Children's Hospital | $52.01 – $443 | — | — |
| MultiCare Auburn Medical Center | $50.57 – $261 | — | — |
| MultiCare Covington Medical Center | $50.57 – $261 | — | — |
| MultiCare Good Samaritan Hospital | $58.68 – $261 | — | — |
| MultiCare Valley Hospital | $57.79 – $251 | — | — |
| Overlake Hospital Medical Center & Clinics | $55.36 – $166 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $93.50 – $200 | — | — |
| Providence Centralia Hospital | $102 – $226 | — | — |
| Providence Regional Medical Center Everett | $72.43 – $140 | — | — |
| Providence St Peter Hospital | $51.31 – $197 | — | — |
| Seattle Children's Hospital | $114 – $203 | $212 | $212 |
| Swedish Edmonds Hospital | $90.54 – $221 | — | — |
| Swedish Issaquah | $90.54 – $134 | — | — |
| Swedish Medical Center | $90.54 – $216 | — | — |
| Swedish Medical Center / Cherry Hill | $90.54 – $216 | — | — |
| Tacoma General Allenmore Hospital | $50.57 – $261 | — | — |
| University of Washington Medical Ctr | $96.58 – $189 | $94.60 | $135 |
| Virginia Mason Medical Center | $57.79 – $210 | — | — |
| Wellfound Behavioral Health Hospital | $152 | — | — |
| Yakima Valley Memorial | $52.01 – $157 | — | — |
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
- $60.36 (fee)