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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Terminal Devices and Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6880 |
National average reimbursement for HCPCS L6880 by major payers:

$24,234.89

$15,822.48

$17,567.84

$33,925.11
Choose a payer to see a sample of rates for HCPCS L6880.
Emory University
Miguel A Arenas Md PC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L6880 vs. Other Terminal Devices and Additions Codes
The HCPCS L6880 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 L6880 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 |
|---|---|---|
| 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) |
| L6881-HCPCS | High | Automatic grasp feature, addition to upper limb electric prosthetic terminal device |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6880. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6880 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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