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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6624 |
National average reimbursement for HCPCS L6624 by major payers:

$3,864.27

$2,459.76

$2,712.99

$3,701.65
Choose a payer to see a sample of rates for HCPCS L6624.
Merrimack Valley Pediatric Associates, Inc.
Carson Medical Group
Effingham Hospital Inc
Miguel A Arenas Md PC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L6624 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6624 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 L6624 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 |
|---|---|---|
| L6623-HCPCS | Moderate | Upper extremity addition, spring assisted rotational wrist unit with latch release |
| L6624-HCPCS | High | Upper extremity addition, flexion/extension and rotation wrist unit |
| L6625-HCPCS | Moderate | Upper extremity addition, rotation wrist unit with cable lock |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6624 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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