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See a sample rate comparisonHCPCS L6026 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Partial Hand Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6026 |
National average reimbursement for HCPCS L6026 by major payers:
$4,664.38
$2,939.43
$3,174.62
$6,311.11
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HCPCS L6026
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$10,129.66Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$4,289.77Published rateKamran Rajaee
$2,993.29Published rateAlicia Encinas
Miguel A Arenas Md PC
$2,244.96Published rateChristopher Raio
St Joseph Hospital
$1,414.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6026 vs. Other Partial Hand Prosthetics Codes
The HCPCS L6026 code is part of the Prosthetic Procedures services used for Partial Hand Prosthetics. 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 L6026 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 |
|---|---|---|
| L6026-HCPCS | High | Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s) |
| L6050-HCPCS | High | Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6026. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6026 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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