HCPCS L6691
Upper extremity addition, removable insert, each
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 | $418 – $3,247 | $248 | $619 |
| Deaconess Medical Center | $230 – $2,021 | $248 | $619 |
| Harborview Medical Center | $777 – $971 | $581 – $595 | $830 – $850 |
| Kadlec Regional Medical Center | $732 – $1,364 | — | — |
| Mary Bridge Children's Hospital | $400 – $3,564 | $248 | $619 |
| MultiCare Auburn Medical Center | $407 – $2,098 | $248 | $619 |
| MultiCare Covington Medical Center | $407 – $2,098 | $248 | $619 |
| MultiCare Good Samaritan Hospital | $407 – $2,098 | $248 | $619 |
| MultiCare Valley Hospital | $230 – $2,016 | $248 | $619 |
| Overlake Hospital Medical Center & Clinics | $445 – $1,336 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $752 – $1,611 | — | — |
| Providence Centralia Hospital | $821 – $1,816 | — | — |
| Providence Regional Medical Center Everett | $583 – $1,127 | — | — |
| Providence St Peter Hospital | $413 – $1,585 | — | — |
| Seattle Children's Hospital | $738 – $1,312 | $1,366 | $1,366 |
| Swedish Edmonds Hospital | $728 – $1,781 | — | — |
| Swedish Issaquah | $728 – $1,078 | — | — |
| Swedish Medical Center | $728 – $1,734 | — | — |
| Swedish Medical Center / Cherry Hill | $728 – $1,734 | — | — |
| Tacoma General Allenmore Hospital | $407 – $2,098 | $248 | $619 |
| University of Washington Medical Ctr | $777 – $1,523 | $751 | $1,073 |
| Virginia Mason Medical Center | $465 – $1,689 | — | — |
| Wellfound Behavioral Health Hospital | $1,225 | — | — |
| Yakima Valley Memorial | $303 – $1,260 | $248 | $619 |
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
- $486 (fee)