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See a sample rate comparisonHCPCS L3252 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, shoe molded to patient model, Plastazote (or similar), custom fabricated, each
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Footwear |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3252 |
National average reimbursement for HCPCS L3252 by major payers:
$172.79
$94.46
$85.68
$146.51
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HCPCS L3252
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$341.37Published rateEmory Healthcare
Emory University
$196.55Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$122.44Published rateElbert Memorial Hospital
$83.09Published rateMichael Guillette
Aztec Urgent Care LLC
$73.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3252 vs. Other Other Orthopedic Footwear Codes
The HCPCS L3252 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 L3252 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 |
|---|---|---|
| L3251-HCPCS | Low | Foot, shoe molded to patient model, silicone shoe, each |
| L3252-HCPCS | Low | Foot, shoe molded to patient model, Plastazote (or similar), custom fabricated, each |
| L3253-HCPCS | Low | Foot, molded shoe Plastazote (or similar) custom fitted, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3252. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3252 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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