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See a sample rate comparisonHCPCS L6300 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.
Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Shoulder Disarticulation, Arm and Hand Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6300 |
National average reimbursement for HCPCS L6300 by major payers:
$4,483.78
$2,726.98
$2,923.59
$6,333.97
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HCPCS L6300
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$7,549.49Published rateQuest Diagnostics Incorporated
$2,979.97Published rateQuest Diagnostics Incorporated
$2,680.82Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$2,137.73Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$1,896.22Published rate
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See a sample payer proposalHCPCS L6300 vs. Other Shoulder Disarticulation, Arm and Hand Prosthetics Codes
The HCPCS L6300 code is part of the Prosthetic Procedures services used for Shoulder Disarticulation, Arm 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 L6300 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 |
|---|---|---|
| L6250-HCPCS | High | Above elbow, molded double wall socket, internal locking elbow, forearm |
| L6300-HCPCS | High | Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm |
| L6310-HCPCS | High | Shoulder disarticulation, passive restoration (complete prosthesis) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6300 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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