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See a sample rate comparisonHCPCS L6704 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.
Terminal device, sport/recreational/work attachment, any material, any size
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Terminal Devices and Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6704 |
National average reimbursement for HCPCS L6704 by major payers:
$655.30
$417.36
$465.23
$663.48
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HCPCS L6704
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,285.79Published rateAnn Steck
Toledo Hospital
$627.83Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$350.67Published rateCindy Chang
Miguel A Arenas Md PC
$335.04Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$233.77Published rate
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See a sample payer proposalHCPCS L6704 vs. Other Terminal Devices and Additions Codes
The HCPCS L6704 code is part of the Prosthetic Procedures services used for Terminal Devices and 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 L6704 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 |
|---|---|---|
| L6703-HCPCS | Moderate | Terminal device, passive hand/mitt, any material, any size |
| L6704-HCPCS | Moderate | Terminal device, sport/recreational/work attachment, any material, any size |
| L6706-HCPCS | Moderate | Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6704. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6704 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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