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See a sample rate comparisonHCPCS L6672 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, harness, chest or shoulder, saddle type
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6672 |
National average reimbursement for HCPCS L6672 by major payers:
$211.38
$126.12
$139.12
$309.20
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HCPCS L6672
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$451.11Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$153.05Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
$126.09Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$113.90Published rateChristopher Raio
St Joseph Hospital
$81.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6672 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6672 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 L6672 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 |
|---|---|---|
| L6670-HCPCS | Low | Upper extremity addition, hook to hand, cable adapter |
| L6672-HCPCS | Moderate | Upper extremity addition, harness, chest or shoulder, saddle type |
| L6675-HCPCS | Low | Upper extremity addition, harness, (e.g., figure of eight type), single cable design |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6672. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6672 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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