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See a sample rate comparisonHCPCS L6915 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.
Hand restoration (shading, and measurements included), replacement glove for above
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Hand Restoration Prosthetics and Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6915 |
National average reimbursement for HCPCS L6915 by major payers:
$772.97
$465.73
$513.20
$1,148.06
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HCPCS L6915
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,475.58Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$751.38Published rateQuest Diagnostics Incorporated
$484.35Published rateLower Oconee Community Hospital Inc
$416.17Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$305.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6915 vs. Other Hand Restoration Prosthetics and Additions Codes
The HCPCS L6915 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 L6915 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 |
|---|---|---|
| L6910-HCPCS | High | Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining |
| L6915-HCPCS | Moderate | Hand restoration (shading, and measurements included), replacement glove for above |
| L6920-HCPCS | High | Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal, switch, cables, two batteries and one charger, switch control of 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 L6915. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6915 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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