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HCPCS L7007 Fee Schedule

Last Verified: December 2025

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.

Electric hand, switch or myoelectric controlled, adult
Key FactDetail
Service Type

Prosthetic Procedures

Electric Hand or Hook and Additions

Complexity LevelHigh

National average reimbursement for HCPCS L7007 by major payers:

bcbs

$3,657.71

uhc

$2,433.41

aetna

$2,687.30

cigna

$3,718.60

Preview provider-level rates for...
For billing codeHCPCS L7007
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS L7007

United
L7007$2060.461306540380 - KARLIE RYAN451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINEALFamily Nurse Practitioner (363LF0000X)
United
L7007$2060.461679845531 - DANA HEMSTREET451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINEALFamily Nurse Practitioner (363LF0000X)
United
L7007$2060.461851400485 - GEORGE HEMSTREET451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINEALInterventional Cardiology Physician (207RI0011X)
United
L7007$7959.661073502985 - CHU CHEN42484572 - (MA) MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
L7007$3103.811063741163 - AZTEC URGENT CARE, LLC271495988 - (NM) AZTEC URGENT CARE LLCNMUrgent Care Clinic/Center (261QU0200X)
United
L7007$1870.891306890942 - BROOKS COUNTY HOSPITAL586002830GACritical Access Hospital (282NC0060X)
United
L7007$1870.891457329435 - PAULDING MEDICAL CENTER, INC., WELLSTAR PAULDING HOSPITAL582095884 - (GA) PAULDING MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
L7007$2793.421720098791 - IRWIN COUNTY HOSPITAL586003765GAGeneral Acute Care Hospital (282N00000X)
United
L7007$2793.421962462226 - TIFT REGIONAL HEALTH SYSTEM INC., TIFT REGIONAL MEDICAL CENTER453072990 - (GA) TIFT REGIONAL HEALTH SYSTEM INCGAGeneral Acute Care Hospital (282N00000X)
United
L7007$4569.501689063554 - ATL COLORECTAL SURGERY205040872 - (GA) ATL COLORECTAL SURGERYGAGeneral Acute Care Hospital (282N00000X)
United
L7007$1870.891457329435 - PAULDING MEDICAL CENTER, INC., WELLSTAR PAULDING HOSPITAL582095884 - (GA) PAULDING MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
L7007$1974.451811962756 - EFFINGHAM HOSPITAL, INC., EFFINGHAM HEALTH SYSTEM474393589 - (GA) EFFINGHAM HOSPITAL INCGACritical Access Hospital (282NC0060X)
United
L7007$4569.501306136551 - UJUKA ILOABUCHI474870066 - (GA) GWINNETT OBGYN ASSOCIATES OF GEORGIA LLCGAWomen's Hospital (282NW0100X)
United
L7007$1870.891225031750 - JASPER HEALTH SERVICES, INC., JASPER MEMORIAL HOSPITAL582510435 - (GA) JASPER HEALTH SERVICES INCGACritical Access Hospital (282NC0060X)
United
L7007$6972.851598964082 - EMORY HEALTHCARE582030692 - EMORY UNIVERSITYGAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS L7007 vs. Other Electric Hand or Hook and Additions Codes

The HCPCS L7007 code is part of the Prosthetic Procedures services used for Electric Hand or Hook 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 L7007 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.

CodeComplexityDescription
L6975-HCPCSHighInterscapular-thoracic, external power, molded inner socket, removable shoulder shell, shoulder bulkhead, humeral section, mechanical elbow, forearm, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device
L7007-HCPCSHighElectric hand, switch or myoelectric controlled, adult
L7008-HCPCSHighElectric hand, switch or myoelectric, controlled, pediatric

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L7007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L7007 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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