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See a sample rate comparisonHCPCS L6621 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.
Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6621 |
National average reimbursement for HCPCS L6621 by major payers:
$2,338.65
$1,489.88
$1,645.89
$2,249.79
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HCPCS L6621
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$4,705.91Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$1,877.69Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$1,385.01Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$1,257.57Published rateKristina Jimenez
Miguel A Arenas Md PC
$820.40Published rate
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See a sample payer proposalHCPCS L6621 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6621 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 L6621 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 |
|---|---|---|
| L6620-HCPCS | Moderate | Upper extremity addition, flexion/extension wrist unit, with or without friction |
| L6621-HCPCS | High | Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device |
| L6623-HCPCS | Moderate | Upper extremity addition, spring assisted rotational wrist unit with latch release |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6621. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6621 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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