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See a sample rate comparisonHCPCS L6895 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 upper extremity prosthesis, glove for terminal device, any material, custom fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Hand Restoration Prosthetics and Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6895 |
National average reimbursement for HCPCS L6895 by major payers:
$632.87
$406.08
$437.70
$937.97
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HCPCS L6895
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$1,560.32Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$830.90Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$499.54Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$334.35Published rateUnilab Corporation, Quest Diagnostics Clinical Lab
$306.73Published rate
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See a sample payer proposalHCPCS L6895 vs. Other Hand Restoration Prosthetics and Additions Codes
The HCPCS L6895 code is part of the Prosthetic Procedures services used for Hand Restoration Prosthetics 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 L6895 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 |
|---|---|---|
| L6890-HCPCS | Low | Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment |
| L6895-HCPCS | Moderate | Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated |
| L6900-HCPCS | High | Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6895. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6895 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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