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See a sample rate comparisonHCPCS L6630 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, stainless steel, any wrist
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6630 |
National average reimbursement for HCPCS L6630 by major payers:
$240.47
$154.55
$171.79
$397.47
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HCPCS L6630
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$630.92Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$215.08Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$145.80Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$117.18Published rateQuest Diagnostics Incorporated
$105.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6630 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6630 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 L6630 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 |
|---|---|---|
| L6629-HCPCS | Low | Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal |
| L6630-HCPCS | Moderate | Upper extremity addition, stainless steel, any wrist |
| L6632-HCPCS | Low | Upper extremity addition, latex suspension sleeve, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6630 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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