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See a sample rate comparisonHCPCS L6200 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.
Elbow disarticulation, molded socket, outside locking hinge, forearm
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Elbow Disarticulation, Forearm and Hand Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6200 |
National average reimbursement for HCPCS L6200 by major payers:
$3,306.91
$1,959.07
$2,168.16
$4,656.93
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HCPCS L6200
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$7,297.75Published rateQuest Diagnostics Venture LLC
$2,182.09Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$1,633.54Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$1,483.23Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$1,422.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6200 vs. Other Elbow Disarticulation, Forearm and Hand Prosthetics Codes
The HCPCS L6200 code is part of the Prosthetic Procedures services used for Elbow Disarticulation, Forearm and 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 L6200 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 |
|---|---|---|
| L6130-HCPCS | High | Below elbow, molded double wall split socket, stump activated locking hinge, half cuff |
| L6200-HCPCS | High | Elbow disarticulation, molded socket, outside locking hinge, forearm |
| L6205-HCPCS | High | Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6200 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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