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HCPCS L6677 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, triple control, simultaneous operation of terminal device and elbow
Key FactDetail
Service Type

Prosthetic Procedures

Upper Extremity Prosthetic Additions

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for L6677

National average reimbursement for HCPCS L6677 by major payers:

bcbs

$304.73

uhc

$193.24

aetna

$213.25

cigna

$291.79

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS L6677.

HCPCS L6677
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $639.39Published rate
  2. The Baxley And Appling County Hospital Authority, Appling Healthcare System

    Appling Hospital

    GAGeneral Acute Care HospitalNPI 1861615304Tax ID 58-6002659

    $240.60Published rate
  3. St. Francis Radiologists, LLC

    GAGeneral Acute Care HospitalNPI 1235306648Tax ID 47-5419443

    $172.14Published rate
  4. Jenkins County Hospital LLC, Optim Medical Center - Jenkins

    GACritical Access HospitalNPI 1497064679Tax ID 27-3100894

    $156.38Published rate
  5. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $104.63Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS L6677 vs. Other Upper Extremity Prosthetic Additions Codes

The HCPCS L6677 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 L6677 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
L6676-HCPCSLowUpper extremity addition, harness, (e.g., figure of eight type), dual cable design
L6677-HCPCSModerateUpper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow
L6680-HCPCSModerateUpper extremity addition, test socket, wrist disarticulation or below elbow

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6677. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L6677 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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