Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L6628 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, quick disconnect hook adapter, Otto Bock or equal
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6628 |
National average reimbursement for HCPCS L6628 by major payers:
$560.01
$343.04
$375.22
$808.24
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L6628.
HCPCS L6628
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
$636.14Published rateCity Of Hope National Medical Center
$287.38Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$274.86Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$191.22Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
$108.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L6628 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6628 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 L6628 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 |
|---|---|---|
| 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 |
| L6629-HCPCS | Low | Upper extremity addition, quick disconnect lamination collar with coupling piece, 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 L6628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6628 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L6628) and we'll show you how you compare in 15 minutes or less.