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See a sample rate comparisonHCPCS L7040 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.
Prehensile actuator, switch controlled
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Electric Hand or Hook and Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L7040 |
National average reimbursement for HCPCS L7040 by major payers:
$3,032.75
$1,976.15
$2,176.94
$4,338.25
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HCPCS L7040
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$6,379.10Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$3,897.66Published rateDonald Gervais
Southeast Neuroscience Center, LLC
$2,118.65Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$1,688.08Published rateDonald Gervais
Neuro Diagnostic Monitoring, LLC
$1,125.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L7040 vs. Other Electric Hand or Hook and Additions Codes
The HCPCS L7040 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 L7040 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 |
|---|---|---|
| L7009-HCPCS | High | Electric hook, switch or myoelectric controlled, adult |
| L7040-HCPCS | High | Prehensile actuator, switch controlled |
| L7045-HCPCS | High | Electric hook, 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 L7040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L7040 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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