HCPCS L6691

Upper extremity addition, removable insert, each

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 L6691 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$495 – $5262 plans$248$619
Deaconess Medical CenterSpokaneFile dated 2026-08-27$439 – $4522 plans$248$619
Harborview Medical CenterSeattleFile dated 2026-04-01—$581 – $595$830 – $850
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$405 – $4956 plans$248$619
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$365 – $4523 plans$248$619
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$365 – $4523 plans$248$619
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$365 – $4523 plans$248$619
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$4462 plans$248$619
Seattle Children's HospitalSeattle$738 – $1,31298 plans$1,366$1,366
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$365 – $4523 plans$248$619
University of Washington Medical CtrSeattleFile dated 2026-04-01—$751$1,073
Yakima Valley MemorialYakimaFile dated 2026-08-27$3471 plan$248$619

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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
$486 (fee)