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See a sample rate comparisonHCPCS L3510 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, rubber
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Shoe Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3510 |
National average reimbursement for HCPCS L3510 by major payers:
$29.38
$18.83
$20.68
$41.70
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HCPCS L3510
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$62.92Published rateUjuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$39.22Published rateKamran Rajaee
$17.69Published rateJefferson Kilpatrick
Pinehurst Surgical Clinic, P.A.
$15.71Published rateMiguel Arenas
Miguel A Arenas Md PC
$10.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L3510 vs. Other Other Orthopedic Shoe Additions Codes
The HCPCS L3510 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 L3510 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 |
|---|---|---|
| L3500-HCPCS | Low | Orthopedic shoe addition, insole, leather |
| L3510-HCPCS | Low | Orthopedic shoe addition, insole, rubber |
| L3520-HCPCS | Low | Orthopedic shoe addition, insole, felt covered with leather |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3510 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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