Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L2810 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, condylar pad
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Lower Extremity Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L2810 |
National average reimbursement for HCPCS L2810 by major payers:
$78.22
$53.10
$56.95
$116.10
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L2810.
HCPCS L2810
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$214.61Published rateDublin Vamc
$67.18Published rateIrwin County Hospital
$59.52Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$43.90Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$29.26Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L2810 vs. Other Other Lower Extremity Additions Codes
The HCPCS L2810 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 L2810 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 |
|---|---|---|
| L2800-HCPCS | Low | Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only |
| L2810-HCPCS | Low | Addition to lower extremity orthosis, knee control, condylar pad |
| L2820-HCPCS | Low | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L2810. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L2810 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L2810) and we'll show you how you compare in 15 minutes or less.