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See a sample rate comparisonHCPCS L6642 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, excursion amplifier, lever type
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6642 |
National average reimbursement for HCPCS L6642 by major payers:
$255.72
$165.24
$184.29
$407.82
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HCPCS L6642
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$583.92Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Physician Group Inc
$196.13Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$132.00Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$122.79Published rateDonalsonville Hospital Inc
$113.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6642 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6642 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 L6642 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 |
|---|---|---|
| L6641-HCPCS | Low | Upper extremity addition, excursion amplifier, pulley type |
| L6642-HCPCS | Moderate | Upper extremity addition, excursion amplifier, lever type |
| L6645-HCPCS | Moderate | Upper extremity addition, shoulder flexion-abduction joint, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6642. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6642 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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