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See a sample rate comparisonHCPCS L6905 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, multiple fingers remaining
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Hand Restoration Prosthetics and Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L6905 |
National average reimbursement for HCPCS L6905 by major payers:
$1,926.86
$1,106.84
$1,209.51
$2,719.03
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HCPCS L6905
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$3,963.62Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$1,441.30Published rateAlbany General Hospital, Samaritan Evergreen Hospice
Albany General Hospital
$1,174.35Published rateUjuka Iloabuchi
$1,063.11Published rateAlicia Encinas
Miguel A Arenas Md PC
$586.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6905 vs. Other Hand Restoration Prosthetics and Additions Codes
The HCPCS L6905 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 L6905 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 |
|---|---|---|
| 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 |
| L6910-HCPCS | High | Hand restoration (casts, shading and measurements included), partial hand, with glove, no 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 L6905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6905 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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