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HCPCS L6650 Fee Schedule

Last Verified: December 2025

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 universal joint, each
Key FactDetail
Service Type

Prosthetic Procedures

Upper Extremity Prosthetic Additions

Complexity LevelModerate

National average reimbursement for HCPCS L6650 by major payers:

bcbs

$392.00

uhc

$251.57

aetna

$283.11

cigna

$559.22

Preview provider-level rates for...
For billing codeHCPCS L6650
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS L6650

United
L6650$310.161902855216 - ATLANTA VAMC582091280GAGeneral Acute Care Hospital (282N00000X)
United
L6650$226.571073567038 - PALMYRA PARK HOSPITAL, INC., PALMYRA MEDICAL CENTERS721553462GAGeneral Acute Care Hospital (282N00000X)
United
L6650$576.141255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN581685139 - (GA) THE MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
L6650$338.291962462226 - TIFT REGIONAL HEALTH SYSTEM INC., TIFT REGIONAL MEDICAL CENTER453072990 - (GA) TIFT REGIONAL HEALTH SYSTEM INCGAGeneral Acute Care Hospital (282N00000X)
United
L6650$334.201508361841 - CHRISTOPHER CHAMBERS10594994 - COOPERATIVE HEALTHCARE SERVICES INCGARural Acute Care Hospital (282NR1301X)
United
L6650$338.291518912666 - STEPHENS COUNTY ANESTHESIA SERVICES,LLC300429607 - (GA) STEPHENS COUNTY ANESTHESIA SERVICESLLCGARural Acute Care Hospital (282NR1301X)
United
L6650$249.521740272095 - DODGE COUNTY HOSPITAL AUTHORITY, DODGE COUNTY HOSPITAL580625140 - (GA) DODGE COUNTY HOSPITAL AUTHORITYGARural Acute Care Hospital (282NR1301X)
United
L6650$844.411396923710 - EMORY UNIVERSITY HOSPITAL582030692 - EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
L6650$249.521306136551 - UJUKA ILOABUCHI582483738GAWomen's Hospital (282NW0100X)
United
L6650$217.221326191180 - PROFESSIONAL RESOURCES MANAGEMENT OF RABUN, LLC, MOUNTAIN LAKES MEDICAL CENTER202012765GACritical Access Hospital (282NC0060X)
United
L6650$553.361306136551 - UJUKA ILOABUCHI881014763GAWomen's Hospital (282NW0100X)
United
L6650$217.221497064679 - JENKINS COUNTY HOSPITAL LLC, OPTIM MEDICAL CENTER - JENKINS273100894GACritical Access Hospital (282NC0060X)
United
L6650$226.571245248624 - HOSPITAL AUTHORITY OF BEN HILL, DORMINY MEDICAL CENTER581157005GARural Acute Care Hospital (282NR1301X)
United
L6650$226.571316938459 - NAVICENT HEALTH OCONEE, LLC, NAVICENT HEALTH BALDWIN582359398 - NAVICENT HEALTH OCONEE LLCGAGeneral Acute Care Hospital (282N00000X)
United
L6650$226.571306890942 - BROOKS COUNTY HOSPITAL586002830GACritical Access Hospital (282NC0060X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS L6650 vs. Other Upper Extremity Prosthetic Additions Codes

The HCPCS L6650 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 L6650 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.

CodeComplexityDescription
L6648-HCPCSHighUpper extremity addition, shoulder lock mechanism, external powered actuator
L6650-HCPCSModerateUpper extremity addition, shoulder universal joint, each
L6655-HCPCSLowUpper extremity addition, standard control cable, extra

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L6650 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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