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See a sample rate comparisonHCPCS L6645 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, shoulder flexion-abduction joint, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6645 |
National average reimbursement for HCPCS L6645 by major payers:
$392.61
$234.89
$269.93
$520.79
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HCPCS L6645
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$813.32Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
Quest Diagnostics Clinical Laboratories, Inc.
$255.33Published rateQuest Diagnostics LLC Il
$234.32Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$218.22Published rateDevon Daney
Aztec Urgent Care LLC
$176.74Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6645 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6645 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 L6645 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 |
|---|---|---|
| L6642-HCPCS | Moderate | Upper extremity addition, excursion amplifier, lever type |
| L6645-HCPCS | Moderate | Upper extremity addition, shoulder flexion-abduction joint, each |
| L6646-HCPCS | High | Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6645. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6645 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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