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 L6810 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, precision pinch device
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Terminal Devices and Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6810 |
National average reimbursement for HCPCS L6810 by major payers:
$206.19
$131.93
$148.74
$290.62
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L6810.
HCPCS L6810
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$264.25Published rateQuest Diagnostics Venture LLC
$130.57Published rateMiguel Arenas
Miguel A Arenas Md PC
$111.69Published rateDevon Daney
Aztec Urgent Care LLC
$103.26Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$76.98Published 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 L6810 vs. Other Terminal Devices and Additions Codes
The HCPCS L6810 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 L6810 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 |
|---|---|---|
| L6805-HCPCS | Moderate | Addition to terminal device, modifier wrist unit |
| L6810-HCPCS | Moderate | Addition to terminal device, precision pinch device |
| L6880-HCPCS | High | Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6810 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 L6810) and we'll show you how you compare in 15 minutes or less.