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See a sample rate comparisonHCPCS L2795 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 orthosis, knee control, full kneecap
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Lower Extremity Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2795 |
National average reimbursement for HCPCS L2795 by major payers:
$88.06
$56.44
$62.34
$116.83
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HCPCS L2795
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$233.49Published rateAtl Colorectal Surgery
$105.90Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$62.59Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$47.75Published rateAlicia Encinas
Miguel A Arenas Md PC
$31.84Published rate
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See a sample payer proposalHCPCS L2795 vs. Other Other Lower Extremity Additions Codes
The HCPCS L2795 code is part of the Orthotic Procedures and services services used for Other Lower Extremity Additions. 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 L2795 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 |
|---|---|---|
| L2785-HCPCS | Low | Addition to lower extremity orthosis, drop lock retainer, each |
| L2795-HCPCS | Low | Addition to lower extremity orthosis, knee control, full kneecap |
| L2800-HCPCS | Low | Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2795. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2795 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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