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See a sample rate comparisonHCPCS L7045 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.
Electric hook, switch or myoelectric controlled, pediatric
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Electric Hand or Hook and Additions |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L7045 |
National average reimbursement for HCPCS L7045 by major payers:
$1,653.71
$1,107.96
$1,229.08
$2,298.35
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HCPCS L7045
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3,548.73Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$1,296.25Published rateChildrens National Medical Center
Childrens Hospital
$967.84Published rateUjuka Iloabuchi
$967.84Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$645.21Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L7045 vs. Other Electric Hand or Hook and Additions Codes
The HCPCS L7045 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 L7045 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 |
|---|---|---|
| L7040-HCPCS | High | Prehensile actuator, switch controlled |
| L7045-HCPCS | High | Electric hook, switch or myoelectric controlled, pediatric |
| L7170-HCPCS | High | Electronic elbow, Hosmer or equal, switch controlled |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L7045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L7045 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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