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See a sample rate comparisonHCPCS L3201 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.
Orthopedic shoe, Oxford with supinator or pronator, infant
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Orthopedic Shoes |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3201 |
National average reimbursement for HCPCS L3201 by major payers:
$37.27
$27.75
$24.14
$44.17
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HCPCS L3201
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$100.23Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$55.50Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$30.31Published rateEmory Healthcare
$22.95Published rateMichael Guillette
Aztec Urgent Care LLC
$21.64Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3201 vs. Other Orthopedic Shoes Codes
The HCPCS L3201 code is part of the Orthotic Procedures and services services used for Orthopedic Shoes. 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 L3201 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 |
|---|---|---|
| L3170-HCPCS | Low | Foot, plastic, silicone or equal, heel stabilizer, prafabricated, off-the-shelf, each |
| L3201-HCPCS | Low | Orthopedic shoe, Oxford with supinator or pronator, infant |
| L3202-HCPCS | Low | Orthopedic shoe, Oxford with supinator or pronator, child |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3201 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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