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See a sample rate comparisonHCPCS L6055 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.
Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Wrist Disarticulation, Hand Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6055 |
National average reimbursement for HCPCS L6055 by major payers:
$3,133.33
$1,920.48
$2,071.73
$4,496.72
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HCPCS L6055
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$4,560.37Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$2,123.28Published rateChristopher Raio
St Francis Hospital
$1,657.14Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$1,495.08Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$1,056.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6055 vs. Other Wrist Disarticulation, Hand Prosthetics Codes
The HCPCS L6055 code is part of the Prosthetic Procedures services used for Wrist Disarticulation, 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 L6055 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 |
|---|---|---|
| L6050-HCPCS | High | Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad |
| L6055-HCPCS | High | Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad |
| L6100-HCPCS | High | Below elbow, molded socket, flexible elbow hinge, 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 L6055. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6055 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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