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HCPCS L2624 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, extension, abduction control, 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 L2624

National average reimbursement for HCPCS L2624 by major payers:

bcbs

$362.98

uhc

$230.16

aetna

$259.71

cigna

$551.95

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS L2624.

HCPCS L2624
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $682.42Published rate
  2. Quest Diagnostics LLC Il

    ILClinical Medical LaboratoryNPI 1881630614Tax ID 36-4257926

    $336.00Published rate
  3. Quest Diagnostics LLC Il

    ILClinical Medical LaboratoryNPI 1881630614Tax ID 36-4257926

    $248.61Published rate
  4. Bacon County Health Services, Inc.

    Bacon County Health Services Inc

    GACritical Access HospitalNPI 1629185285Tax ID 58-2224545

    $234.30Published rate
  5. Emory Healthcare

    GAGeneral Acute Care HospitalNPI 1417157405Tax ID 90-1116753

    $186.11Published rate

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

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HCPCS L2624 vs. Other Additions, Pelvic and/or Thoracic Control, Lower Extremities Codes

The HCPCS L2624 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 L2624 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
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
L2627-HCPCSHighAddition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the L2624 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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