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See a sample rate comparisonHCPCS L2250 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.
Addition to lower extremity, foot plate, molded to patient model, stirrup attachment
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Lower Extremity Orthotics |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L2250 |
National average reimbursement for HCPCS L2250 by major payers:
$384.80
$232.26
$251.20
$477.30
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HCPCS L2250
5 of 25 sample ratesHigher to lower in this preview
Anna Jaques Hospital
$533.73Published rateQuest Diagnostics LLC Il
$430.39Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$211.66Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$173.86Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$133.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L2250 vs. Other Additions, Lower Extremity Orthotics Codes
The HCPCS L2250 code is part of the Orthotic Procedures and services services used for Additions, Lower Extremity 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 L2250 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 |
|---|---|---|
| L2240-HCPCS | Low | Addition to lower extremity, round caliper and plate attachment |
| L2250-HCPCS | Moderate | Addition to lower extremity, foot plate, molded to patient model, stirrup attachment |
| L2260-HCPCS | Moderate | Addition to lower extremity, reinforced solid stirrup (Scott-Craig type) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2250 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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