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See a sample rate comparisonHCPCS L1907 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Ankle-foot Orthotics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L1907 |
National average reimbursement for HCPCS L1907 by major payers:
$543.49
$362.27
$405.53
$802.95
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HCPCS L1907
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,210.43Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$461.02Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$343.79Published rateMichael Koch
Pathology Lab Of Georgia LLC
$302.14Published rateMiguel Arenas
Miguel A Arenas Md PC
$201.42Published rate
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See a sample payer proposalHCPCS L1907 vs. Other Ankle-foot Orthotics Codes
The HCPCS L1907 code is part of the Orthotic Procedures and services services used for Ankle-foot Orthotics. 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 L1907 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 |
|---|---|---|
| L1906-HCPCS | Low | Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
| L1907-HCPCS | Moderate | Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
| L1910-HCPCS | Moderate | Ankle foot orthosis (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L1907. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L1907 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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