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See a sample rate comparisonHCPCS L6350 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.
Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Interscapular Thoracic, Arm, and Hand Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6350 |
National average reimbursement for HCPCS L6350 by major payers:
$4,935.50
$2,879.61
$3,062.39
$6,899.82
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HCPCS L6350
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$8,744.33Published rateQuest Diagnostics Incorporated
$3,109.36Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$2,371.20Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$2,247.50Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$1,563.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6350 vs. Other Interscapular Thoracic, Arm, and Hand Prosthetics Codes
The HCPCS L6350 code is part of the Prosthetic Procedures services used for Interscapular Thoracic, 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 L6350 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 |
|---|---|---|
| L6320-HCPCS | High | Shoulder disarticulation, passive restoration (shoulder cap only) |
| L6350-HCPCS | High | Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm |
| L6360-HCPCS | High | Interscapular thoracic, 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 L6350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6350 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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