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See a sample rate comparisonHCPCS L3500 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 addition, insole, leather
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Shoe Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3500 |
National average reimbursement for HCPCS L3500 by major payers:
$29.58
$18.83
$20.57
$41.74
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HCPCS L3500
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$62.92Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$29.48Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$19.98Published rateMiguel Arenas
Miguel A Arenas Md PC
$15.71Published rateKristina Jimenez
Miguel A Arenas Md PC
$10.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3500 vs. Other Other Orthopedic Shoe Additions Codes
The HCPCS L3500 code is part of the Orthotic Procedures and services services used for Other Orthopedic Shoe Additions. 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 L3500 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 |
|---|---|---|
| L3485-HCPCS | Low | Heel, pad, removable for spur |
| L3500-HCPCS | Low | Orthopedic shoe addition, insole, leather |
| L3510-HCPCS | Low | Orthopedic shoe addition, insole, rubber |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3500 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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