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See a sample rate comparisonHCPCS L6900 Fee Schedule
Last Verified: October 2026
Healthcare 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.
Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Hand Restoration Prosthetics and Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6900 |
National average reimbursement for HCPCS L6900 by major payers:
$1,896.89
$1,139.20
$1,255.37
$2,711.61
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HCPCS L6900
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3,316.30Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$1,449.54Published rateUjuka Iloabuchi
$1,069.19Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
$1,052.80Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$930.78Published rate
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See a sample payer proposalHCPCS L6900 vs. Other Hand Restoration Prosthetics and Additions Codes
The HCPCS L6900 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 L6900 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 |
|---|---|---|
| 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 |
| L6905-HCPCS | High | Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6900 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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