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HCPCS L2622 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, pelvic control, hip joint, adjustable flexion, each
Key FactDetail
Service Type

Orthotic Procedures and services

Additions, Pelvic and/or Thoracic Control, Lower Extremities

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for L2622

National average reimbursement for HCPCS L2622 by major payers:

bcbs

$313.39

uhc

$205.94

aetna

$226.51

cigna

$449.11

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS L2622.

HCPCS L2622
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $803.94Published rate
  2. City Of Hope National Medical Center

    CAGeneral Acute Care HospitalNPI 1750358297Tax ID 95-1683875

    $260.00Published rate
  3. Hca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center

    TNGeneral Acute Care HospitalNPI 1023055126Tax ID 71-0897031

    $230.22Published rate
  4. Hospital Authority Of Jenkins County

    GACritical Access HospitalNPI 1760452098Tax ID 27-3100894

    $150.05Published rate
  5. Wildwood Sanitarium Incorporated, Wildwood Medical Clinic

    Wildwood Sanitarium Incorporated

    GAGeneral Acute Care HospitalNPI 1902957541Tax ID 58-6039864

    $114.90Published rate

National sample. Rates vary by location, specialty, and contract.

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Payer Contract Negotiation

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HCPCS L2622 vs. Other Additions, Pelvic and/or Thoracic Control, Lower Extremities Codes

The HCPCS L2622 code is part of the Orthotic Procedures and services services used for Additions, Pelvic and/or Thoracic Control, Lower Extremities. 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 L2622 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.

CodeComplexityDescription
L2620-HCPCSModerateAddition to lower extremity, pelvic control, hip joint, heavy duty, each
L2622-HCPCSModerateAddition to lower extremity, pelvic control, hip joint, adjustable flexion, each
L2624-HCPCSModerateAddition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2622. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L2622 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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