# HCPCS L6805: Addition to upper extremity prosthesis, monitor control mechanism

Medicare HCPCS L6805 pays $467.24 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $296.48 in Puerto Rico to $554.72 in Hawaii, a 87% spread.

Web page: https://www.med-reveal.com/rates/L6805-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $467.24 |
| National facility | $467.24 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $554.72 | $554.72 |
| Iowa | $532.91 | $532.91 |
| Kansas | $532.91 | $532.91 |
| Missouri | $532.91 | $532.91 |
| Nebraska | $532.91 | $532.91 |
| Arkansas | $520.97 | $520.97 |
| Louisiana | $520.97 | $520.97 |
| New Mexico | $520.97 | $520.97 |
| Oklahoma | $520.97 | $520.97 |
| Texas | $520.97 | $520.97 |
| Alaska | $518.80 | $518.80 |
| Arizona | $518.39 | $518.39 |
| California | $518.39 | $518.39 |
| Nevada | $518.39 | $518.39 |
| Idaho | $517.80 | $517.80 |
| Oregon | $517.80 | $517.80 |
| Washington | $517.80 | $517.80 |
| New Jersey | $488.94 | $488.94 |
| New York | $488.94 | $488.94 |
| Virgin Islands | $488.93 | $488.93 |
| Illinois | $472.26 | $472.26 |
| Indiana | $472.26 | $472.26 |
| Michigan | $472.26 | $472.26 |
| Minnesota | $472.26 | $472.26 |
| Ohio | $472.26 | $472.26 |
| Wisconsin | $472.26 | $472.26 |
| Connecticut | $442.69 | $442.69 |
| Maine | $442.69 | $442.69 |
| Massachusetts | $442.69 | $442.69 |
| New Hampshire | $442.69 | $442.69 |
| Rhode Island | $442.69 | $442.69 |
| Vermont | $442.69 | $442.69 |
| Delaware | $440.68 | $440.68 |
| District of Columbia | $440.68 | $440.68 |
| Maryland | $440.68 | $440.68 |
| Pennsylvania | $440.68 | $440.68 |
| Virginia | $440.68 | $440.68 |
| West Virginia | $440.68 | $440.68 |
| Colorado | $435.97 | $435.97 |
| Montana | $435.97 | $435.97 |
| North Dakota | $435.97 | $435.97 |
| South Dakota | $435.97 | $435.97 |
| Utah | $435.97 | $435.97 |
| Wyoming | $435.97 | $435.97 |
| Alabama | $416.53 | $416.53 |
| Florida | $416.53 | $416.53 |
| Georgia | $416.53 | $416.53 |
| Kentucky | $416.53 | $416.53 |
| Mississippi | $416.53 | $416.53 |
| North Carolina | $416.53 | $416.53 |
| South Carolina | $416.53 | $416.53 |
| Tennessee | $416.53 | $416.53 |
| Puerto Rico | $296.48 | $296.48 |

## Related codes

- L5000: Partial foot prosthesis, shoe insert with longitudinal arch, toe filler — https://www.med-reveal.com/rates/L5000-hcpcs-fee-schedule
- L5010: Partial foot prosthesis, molded socket, ankle height, soft interface — https://www.med-reveal.com/rates/L5010-hcpcs-fee-schedule
- L5050: Ankle symes prosthesis, molded socket — https://www.med-reveal.com/rates/L5050-hcpcs-fee-schedule
- L5100: Below knee prosthesis, molded socket, shin, SACH foot — https://www.med-reveal.com/rates/L5100-hcpcs-fee-schedule
- L5200: Above knee prosthesis, molded socket, single axis constant friction knee — https://www.med-reveal.com/rates/L5200-hcpcs-fee-schedule
- L5301: Below knee prosthesis, molded socket, shin, SACH foot, endoskeletal system — https://www.med-reveal.com/rates/L5301-hcpcs-fee-schedule
- L5321: Above knee prosthesis, molded socket, open end, endoskeletal system — https://www.med-reveal.com/rates/L5321-hcpcs-fee-schedule
- L5400: Immediate post-surgical or early fitting, application of initial rigid dressing — https://www.med-reveal.com/rates/L5400-hcpcs-fee-schedule

Commercial negotiated rates for L6805 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules