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See a sample rate comparisonHCPCS L3001 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, Spenco, each
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Foot Inserts, Removable |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3001 |
National average reimbursement for HCPCS L3001 by major payers:
$133.86
$85.18
$92.74
$186.78
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HCPCS L3001
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$271.59Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$133.21Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$106.56Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$69.58Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$47.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3001 vs. Other Foot Inserts, Removable Codes
The HCPCS L3001 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 L3001 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 |
|---|---|---|
| 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 |
| L3002-HCPCS | Low | Foot, insert, removable, molded to patient model, Plastazote or equal, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3001 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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