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See a sample rate comparisonHCPCS L2630 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, band and belt, unilateral
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Additions, Pelvic and/or Thoracic Control, Lower Extremities |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L2630 |
National average reimbursement for HCPCS L2630 by major payers:
$252.21
$164.85
$175.45
$329.95
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HCPCS L2630
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$632.72Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$282.49Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$188.69Published rateEmory Healthcare
$139.17Published rateChristopher Raio
St Francis Hospital
$113.00Published rate
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See a sample payer proposalHCPCS L2630 vs. Other Additions, Pelvic and/or Thoracic Control, Lower Extremities Codes
The HCPCS L2630 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 L2630 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 |
|---|---|---|
| L2628-HCPCS | High | Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables |
| L2630-HCPCS | Moderate | Addition to lower extremity, pelvic control, band and belt, unilateral |
| L2640-HCPCS | Moderate | Addition to lower extremity, pelvic control, band and belt, bilateral |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2630 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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