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See a sample rate comparisonHCPCS L6625 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 addition, rotation wrist unit with cable lock
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6625 |
National average reimbursement for HCPCS L6625 by major payers:
$605.42
$383.69
$440.95
$756.73
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HCPCS L6625
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$1,231.38Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Physician Group Inc
$548.14Published rateQuest Diagnostics LLC Il
$471.89Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$363.88Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$316.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6625 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6625 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 L6625 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 |
|---|---|---|
| L6624-HCPCS | High | Upper extremity addition, flexion/extension and rotation wrist unit |
| L6625-HCPCS | Moderate | Upper extremity addition, rotation wrist unit with cable lock |
| L6628-HCPCS | Moderate | Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6625. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6625 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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