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See a sample rate comparisonHCPCS L6647 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 lock mechanism, body powered actuator
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6647 |
National average reimbursement for HCPCS L6647 by major payers:
$530.68
$338.23
$376.56
$743.63
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HCPCS L6647
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,119.11Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$524.02Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$328.41Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$301.29Published rateKristina Jimenez
Miguel A Arenas Md PC
$186.24Published rate
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See a sample payer proposalHCPCS L6647 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6647 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 L6647 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 |
|---|---|---|
| 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 |
| L6648-HCPCS | High | Upper extremity addition, shoulder lock mechanism, external 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 L6647. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6647 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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