Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L6805 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.
Addition to terminal device, modifier wrist unit
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Terminal Devices and Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6805 |
National average reimbursement for HCPCS L6805 by major payers:
$402.38
$247.04
$272.24
$546.45
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L6805.
HCPCS L6805
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$759.54Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$254.80Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$203.72Published rateHospital Authority Of Candler County, Candler County Hospital
$195.22Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$135.82Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L6805 vs. Other Terminal Devices and Additions Codes
The HCPCS L6805 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 L6805 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 |
|---|---|---|
| L6722-HCPCS | High | Terminal device, hook or hand, heavy duty, mechanical, voluntary closing, any material, any size, lined or unlined |
| L6805-HCPCS | Moderate | Addition to terminal device, modifier wrist unit |
| L6810-HCPCS | Moderate | Addition to terminal device, precision pinch device |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6805. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6805 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L6805) and we'll show you how you compare in 15 minutes or less.