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See a sample rate comparisonHCPCS L3595 Fee Schedule
Last Verified: October 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, March bar
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Orthopedic Shoe Additions |
| Complexity Level | Low |
| Medicaid Fee Schedule | $43.425 median of the 8 states in the free preview · View Medicaid rates for L3595 |
National average reimbursement for HCPCS L3595 by major payers:
$41.96
$26.95
$29.77
$59.60
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HCPCS L3595
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$94.54Published rateEmory Crawford Long Hospital
Emory University
$85.81Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$25.36Published rateDana Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$22.53Published rateAlicia Encinas
Miguel A Arenas Md PC
$15.02Published rate
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See a sample payer proposalHCPCS L3595 vs. Other Other Orthopedic Shoe Additions Codes
The HCPCS L3595 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 L3595 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 |
|---|---|---|
| L3590-HCPCS | Low | Orthopedic shoe addition, convert firm shoe counter to soft counter |
| L3595-HCPCS | Low | Orthopedic shoe addition, March bar |
| L3600-HCPCS | Low | Transfer of an orthosis from one shoe to another, caliper plate, existing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3595 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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