HCPCS L6665
Upper extremity addition, teflon, or equal, cable lining
Current code24 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 | $59.15 – $65.07 | — | — |
| Deaconess Medical Center | $59.15 – $65.07 | — | — |
| Harborview Medical Center | $60.36 – $66.40 | $73.08 – $73.94 | $104 – $106 |
| Kadlec Regional Medical Center | $60.36 – $72.43 | — | — |
| Mary Bridge Children's Hospital | $59.15 – $65.07 | — | — |
| MultiCare Auburn Medical Center | $59.15 – $65.07 | — | — |
| MultiCare Covington Medical Center | $59.15 – $65.07 | — | — |
| MultiCare Good Samaritan Hospital | $59.15 – $65.07 | — | — |
| MultiCare Valley Hospital | $60.93 – $65.07 | — | — |
| Overlake Hospital Medical Center & Clinics | $60.36 – $62.77 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $60.36 – $72.43 | — | — |
| Providence Centralia Hospital | $60.36 – $96.58 | — | — |
| Providence Regional Medical Center Everett | $60.36 – $66.40 | — | — |
| Providence St Peter Hospital | $60.36 – $96.58 | — | — |
| Seattle Children's Hospital | — | $212 | $212 |
| Swedish Edmonds Hospital | $60.36 – $72.43 | — | — |
| Swedish Issaquah | $60.36 – $72.43 | — | — |
| Swedish Medical Center | $60.36 – $72.43 | — | — |
| Swedish Medical Center / Cherry Hill | $60.36 – $72.43 | — | — |
| Tacoma General Allenmore Hospital | $59.15 – $65.07 | — | — |
| University of Washington Medical Ctr | $60.36 – $66.40 | $94.60 | $135 |
| Virginia Mason Medical Center | $41.43 – $62.14 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $59.15 – $66.25 | — | — |
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)