HCPCS L3924 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Orthotic Procedures and services • Additional Miscellaneous Orthotics, Upper Extremities |
| Complexity Level | Low |
National average reimbursement for HCPCS L3924 by major payers:
$80.52
$57.33
$67.00
$125.71
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS L3924 | ||||||
United | L3924 | $47.84 | 1154663235 - RADU PURTUC | 270492585 - (FL) CERTIFIED FOOT ANKLE SPECIALISTS | MI | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $63.79 | 1306878806 - JAMES BAUMGARTNER | 362193608 - SHRINERS HOSPITALS FOR CHILDREN | FL | Neurological Surgery Physician (207T00000X) |
United | L3924 | $47.84 | 1336708650 - TORI BREITENBACH | 264262681 - (TN) GATEWAY FOOT AND ANKLE CENTER | DC | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $31.88 | 1093125676 - STEPHEN GIBBS | 452298151 - (TX) SPECIALTY ASSOCIATES OF WEST HOUSTON PLLC | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | L3924 | $48.79 | 1013957166 - MICHAEL GARVIN | 263562113 - (FL) ADNAN SHARIFF, INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $47.84 | 1174588032 - JASON HANFT | 650809693 - (FL) THE FOOT ANKLE INSTITUTE OF SOUTH FLORIDA INC | FL | Foot Surgery Podiatrist (213ES0131X) |
United | L3924 | $47.84 | 1427541937 - JOSEPH WOLF | 341633020 - (OH) PODIATRIC ASSOCIATES OF NORTHWEST OHIO, INC. | OH | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $393.76 | 1093995136 - ADIB ABLA | 943281657 | FL | Neurological Surgery Physician (207T00000X) |
United | L3924 | $48.79 | 1548373160 - JENNIFER KAZAMIAS | 650397440 - (FL) BOCA RATON PODIATRY PA | FL | Podiatrist (213E00000X) |
United | L3924 | $48.79 | 1366429862 - AMANDA BARTELL | 141986448 - (FL) NORTH FLORIDA FOOT & ANKLE CENTER | FL | Podiatrist (213E00000X) |
United | L3924 | $46.34 | 1770030256 - MELISSA WINTER | 30598681 - (FL) ANNE MCNAMARA DPM, PL | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $47.84 | 1275824419 - KYLE JOHNSON | 824093809 - (FL) TIDEWATER FOOT ANKLE ASSOCIATES INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $47.84 | 1285085357 - WESLEY JACKSON | 593502544 - (FL) PODIATRY ASSOCIATES OF FLORIDA INC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | L3924 | $46.34 | 1649437765 - LAWNWOOD HEALTHCARE SPECIALISTS LLC | 352285106 | FL | Neurological Surgery Physician (207T00000X) |
United | L3924 | $48.56 | 1518344373 - DOMINIQUE HIGGINS | 592579938 - UNIVERSITY OF MIAMI | NC | Neurological Surgery Physician (207T00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS L3924 vs. Other Additional Miscellaneous Orthotics, Upper Extremities Codes
The HCPCS L3924 code is part of the Orthotic Procedures and services services used for Additional Miscellaneous Orthotics, Upper Extremities. 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 L3924 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 |
|---|---|---|
| L3923-HCPCS | Low | Hand finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
| L3924-HCPCS | Low | Hand finger orthosis (HFO), without joints, may include soft interface, straps, prefabricated, off-the-shelf |
| L3925-HCPCS | Low | Finger orthosis (FO), proximal interphalangeal (PIP)/distal interphalangeal (DIP), non torsion joint/spring, extension/flexion, may include soft interface material, 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 L3924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3924 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L3924) and we'll show you how you compare in 15 minutes or less.