HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

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 L6687 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$608 – $4,72219 plans$360$900
Deaconess Medical CenterSpokaneFile dated 2026-08-27$334 – $2,93916 plans$360$900
Harborview Medical CenterSeattleFile dated 2026-04-01$1,130 – $1,4122 plans$858 – $865$1,226 – $1,236
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,065 – $1,9845 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$581 – $5,18318 plans$360$900
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$592 – $3,05120 plans$360$900
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$592 – $3,05120 plans$360$900
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$592 – $3,05120 plans$360$900
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$334 – $2,93216 plans$360$900
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$648 – $1,94310 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,094 – $2,3439 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,193 – $2,6405 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$847 – $1,6387 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$600 – $2,3068 plans——
Seattle Children's HospitalSeattle$1,103 – $1,96198 plans$2,043$2,043
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,059 – $2,5907 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,059 – $1,5687 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,059 – $2,5229 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,059 – $2,5229 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$592 – $3,05120 plans$360$900
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,130 – $2,2155 plans$1,092$1,561
Virginia Mason Medical CenterSeattle$676 – $2,4567 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1,7821 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$441 – $1,83219 plans$360$900

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
$706 (fee)