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See a sample rate comparisonHCPCS L3000 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.
Foot, insert, removable, molded to patient model, 'UCB' type, Berkeley Shell, each
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Foot Inserts, Removable |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L3000 |
National average reimbursement for HCPCS L3000 by major payers:
$298.48
$202.10
$242.03
$440.75
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HCPCS L3000
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$675.75Published rateChristopher Brown
Blue Ridge Orthopaedic Associates, P.C.
$382.58Published rateMichael Poss
Blue Ridge Orthopaedic Associates, P.C.
$370.25Published rateAudra Siegel
$228.55Published rateJonathan Knee
$122.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3000 vs. Other Foot Inserts, Removable Codes
The HCPCS L3000 code is part of the Orthotic Procedures and services services used for Foot Inserts, Removable. 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 L3000 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 |
|---|---|---|
| L2999-HCPCS | High | Lower extremity orthoses, not otherwise specified |
| L3000-HCPCS | Moderate | Foot, insert, removable, molded to patient model, 'UCB' type, Berkeley Shell, each |
| L3001-HCPCS | Low | Foot, insert, removable, molded to patient model, Spenco, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3000 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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