HCPCS L6691
Upper extremity addition, removable insert, each
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 | $476 – $523 | $248 | $619 |
| Deaconess Medical Center | $476 – $523 | $248 | $619 |
| Harborview Medical Center | $486 – $534 | $581 – $595 | $830 – $850 |
| Kadlec Regional Medical Center | $486 – $583 | — | — |
| Mary Bridge Children's Hospital | $476 – $523 | $248 | $619 |
| MultiCare Auburn Medical Center | $476 – $523 | $248 | $619 |
| MultiCare Covington Medical Center | $476 – $523 | $248 | $619 |
| MultiCare Good Samaritan Hospital | $476 – $523 | $248 | $619 |
| MultiCare Valley Hospital | $490 – $523 | $248 | $619 |
| Overlake Hospital Medical Center & Clinics | $486 – $505 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $486 – $583 | — | — |
| Providence Centralia Hospital | $486 – $777 | — | — |
| Providence Regional Medical Center Everett | $486 – $534 | — | — |
| Providence St Peter Hospital | $486 – $777 | — | — |
| Seattle Children's Hospital | — | $1,366 | $1,366 |
| Swedish Edmonds Hospital | $486 – $583 | — | — |
| Swedish Issaquah | $486 – $583 | — | — |
| Swedish Medical Center | $486 – $583 | — | — |
| Swedish Medical Center / Cherry Hill | $486 – $583 | — | — |
| Tacoma General Allenmore Hospital | $476 – $523 | $248 | $619 |
| University of Washington Medical Ctr | $486 – $534 | $751 | $1,073 |
| Virginia Mason Medical Center | $333 – $500 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $476 – $533 | $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)