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See a sample rate comparisonHCPCS L0820 Fee Schedule
Last Verified: September 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.
Halo procedure, cervical halo incorporated into plaster body jacket
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Cervical Halo Procedures |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L0820 |
National average reimbursement for HCPCS L0820 by major payers:
$2,321.15
$1,421.30
$1,532.05
$2,997.09
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HCPCS L0820
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$5,665.61Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$1,639.57Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$1,220.61Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$1,169.67Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$813.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L0820 vs. Other Cervical Halo Procedures Codes
The HCPCS L0820 code is part of the Orthotic Procedures and services services used for Cervical Halo Procedures. 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 L0820 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 |
|---|---|---|
| L0810-HCPCS | High | Halo procedure, cervical halo incorporated into jacket vest |
| L0820-HCPCS | High | Halo procedure, cervical halo incorporated into plaster body jacket |
| L0830-HCPCS | High | Halo procedure, cervical halo incorporated into Milwaukee type orthosis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L0820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L0820 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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