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See a sample rate comparisonHCPCS L6646 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6646 |
National average reimbursement for HCPCS L6646 by major payers:
$3,215.69
$2,054.47
$2,258.59
$4,515.91
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HCPCS L6646
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$7,120.41Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$4,409.66Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$1,909.83Published rateAmy Moore
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$1,696.91Published rateApril Leuzinger
Aztec Urgent Care LLC
$1,568.93Published rate
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See a sample payer proposalHCPCS L6646 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6646 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 L6646 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 |
|---|---|---|
| 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 |
| L6647-HCPCS | Moderate | Upper extremity addition, shoulder lock mechanism, body powered actuator |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6646. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6646 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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