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See a sample rate comparisonHCPCS L3650 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.
Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Shoulder Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L3650 |
National average reimbursement for HCPCS L3650 by major payers:
$58.12
$40.02
$45.91
$92.32
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HCPCS L3650
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$141.50Published rateAlbany General Hospital, Samaritan Evergreen Hospice
Albany General Hospital
$44.00Published rateBuffalo Rehab Group Physical Therapy And Occupational Therapy PC
Buffalo Rehab Group
$42.65Published rateMichael Koch
Pathology Lab Of Georgia LLC
$32.61Published rateKristina Jimenez
Miguel A Arenas Md PC
$21.75Published rate
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See a sample payer proposalHCPCS L3650 vs. Other Shoulder Orthotics Codes
The HCPCS L3650 code is part of the Orthotic Procedures and services services used for Shoulder Orthotics. 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 L3650 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 |
|---|---|---|
| L3649-HCPCS | Moderate | Orthopedic shoe, modification, addition or transfer, not otherwise specified |
| L3650-HCPCS | Low | Shoulder orthosis (SO), figure of eight design abduction restrainer, prefabricated, off-the-shelf |
| L3660-HCPCS | Low | Shoulder orthosis (SO), figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3650 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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