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See a sample rate comparisonHCPCS L6605 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Upper extremity additions, single pivot hinge, pair
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6605 |
National average reimbursement for HCPCS L6605 by major payers:
$214.69
$136.49
$150.02
$330.32
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HCPCS L6605
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$375.30Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$167.05Published rateQuest Diagnostics LLC Il
$148.13Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$106.26Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$96.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6605 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6605 code is part of the Prosthetic Procedures services used for Upper Extremity Prosthetic Additions. 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 L6605 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 |
|---|---|---|
| L6600-HCPCS | Moderate | Upper extremity additions, polycentric hinge, pair |
| L6605-HCPCS | Moderate | Upper extremity additions, single pivot hinge, pair |
| L6610-HCPCS | Low | Upper extremity additions, flexible metal hinge, pair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6605 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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