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See a sample rate comparisonHCPCS L3219 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 footwear, mens shoe, Oxford, each
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Footwear |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3219 |
National average reimbursement for HCPCS L3219 by major payers:
$80.35
$56.80
$49.67
$90.80
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HCPCS L3219
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$205.19Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$65.70Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$54.90Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$46.90Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$31.26Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3219 vs. Other Other Orthopedic Footwear Codes
The HCPCS L3219 code is part of the Orthotic Procedures and services services used for Other Orthopedic Footwear. 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 L3219 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 |
|---|---|---|
| L3217-HCPCS | Low | Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
| L3219-HCPCS | Low | Orthopedic footwear, mens shoe, Oxford, each |
| L3221-HCPCS | Low | Orthopedic footwear, mens shoe, depth inlay, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3219. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3219 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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