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See a sample rate comparisonHCPCS L3420 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.
Full sole and heel wedge, between sole
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Shoe Wedges |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3420 |
National average reimbursement for HCPCS L3420 by major payers:
$54.20
$35.17
$38.51
$77.25
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HCPCS L3420
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$95.05Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$33.04Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$30.00Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$28.76Published rateAlicia Encinas
Miguel A Arenas Md PC
$19.57Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3420 vs. Other Shoe Wedges Codes
The HCPCS L3420 code is part of the Orthotic Procedures and services services used for Shoe Wedges. 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 L3420 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 |
|---|---|---|
| L3410-HCPCS | Low | Metatarsal bar wedge, between sole |
| L3420-HCPCS | Low | Full sole and heel wedge, between sole |
| L3430-HCPCS | Low | Heel, counter, plastic reinforced |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3420 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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