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See a sample rate comparisonHCPCS L6400 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.
Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Molded Socket Endoskeletal Prosthetic System, Upper Limbs |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6400 |
National average reimbursement for HCPCS L6400 by major payers:
$2,705.96
$1,664.38
$1,788.16
$3,863.77
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HCPCS L6400
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$5,180.16Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$1,860.88Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
$1,806.18Published rateScreven County Hospital
$1,331.42Published rateMiguel Arenas
Miguel A Arenas Md PC
$926.28Published rate
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See a sample payer proposalHCPCS L6400 vs. Other Molded Socket Endoskeletal Prosthetic System, Upper Limbs Codes
The HCPCS L6400 code is part of the Prosthetic Procedures services used for Molded Socket Endoskeletal Prosthetic System, Upper Limbs. 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 L6400 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 |
|---|---|---|
| L6388-HCPCS | Moderate | Immediate post surgical or early fitting, application of rigid dressing only |
| L6400-HCPCS | High | Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
| L6450-HCPCS | High | Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6400 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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