Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L6360 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, passive restoration (complete prosthesis)
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Interscapular Thoracic, Arm, and Hand Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6360 |
National average reimbursement for HCPCS L6360 by major payers:
$4,063.42
$2,308.00
$2,570.91
$5,950.13
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L6360.
HCPCS L6360
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$7,864.14Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$3,177.40Published rateQuest Diagnostics Venture LLC
$2,547.69Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$1,985.50Published rateDonalsonville Hospital Inc
$1,836.29Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L6360 vs. Other Interscapular Thoracic, Arm, and Hand Prosthetics Codes
The HCPCS L6360 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 L6360 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 |
|---|---|---|
| L6350-HCPCS | High | Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm |
| L6360-HCPCS | High | Interscapular thoracic, passive restoration (complete prosthesis) |
| L6370-HCPCS | High | Interscapular thoracic, passive restoration (shoulder cap only) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6360 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L6360) and we'll show you how you compare in 15 minutes or less.