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See a sample rate comparisonHCPCS L5644 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Addition to lower extremity, above knee, wood socket
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Various Prosthetic Sockets |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L5644 |
National average reimbursement for HCPCS L5644 by major payers:
$637.98
$410.84
$452.34
$840.62
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HCPCS L5644
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,701.60Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$479.48Published rateKeck Medical Center Of Usc, Keck Hospital Of Usc
Keck Medical Center Of Usc
$354.32Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$338.89Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$307.89Published rate
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See a sample payer proposalHCPCS L5644 vs. Other Various Prosthetic Sockets Codes
The HCPCS L5644 code is part of the Prosthetic Procedures services used for Various Prosthetic Sockets. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L5644 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L5643-HCPCS | High | Addition to lower extremity, hip disarticulation, flexible inner socket, external frame |
| L5644-HCPCS | Moderate | Addition to lower extremity, above knee, wood socket |
| L5645-HCPCS | Moderate | Addition to lower extremity, below knee, flexible inner socket, external frame |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5644. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5644 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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