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See a sample rate comparisonHCPCS L3040 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, arch support, removable, premolded, longitudinal, each
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Foot Arch Supports |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3040 |
National average reimbursement for HCPCS L3040 by major payers:
$46.15
$30.30
$33.87
$66.47
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HCPCS L3040
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$96.25Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$57.34Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$32.13Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$25.27Published rateMichael Guillette
Aztec Urgent Care LLC
$23.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3040 vs. Other Foot Arch Supports Codes
The HCPCS L3040 code is part of the Orthotic Procedures and services services used for Foot Arch Supports. 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 L3040 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 |
|---|---|---|
| L3031-HCPCS | Low | Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each |
| L3040-HCPCS | Low | Foot, arch support, removable, premolded, longitudinal, each |
| L3050-HCPCS | Low | Foot, arch support, removable, premolded, metatarsal, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3040 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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