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See a sample rate comparisonHCPCS L3978 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Shoulder-elbow-wrist-hand-finger Orthotics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L3978 |
National average reimbursement for HCPCS L3978 by major payers:
$1,847.68
$1,162.99
$1,265.42
$1,772.29
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HCPCS L3978
5 of 25 sample ratesHigher to lower in this preview
Anna Jaques Hospital
$2,590.82Published rateKamran Rajaee
$1,091.03Published rateBrooks County Hospital
$990.65Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$949.80Published rateApril Leuzinger
Aztec Urgent Care LLC
$896.28Published rate
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See a sample payer proposalHCPCS L3978 vs. Other Shoulder-elbow-wrist-hand-finger Orthotics Codes
The HCPCS L3978 code is part of the Orthotic Procedures and services services used for Shoulder-elbow-wrist-hand-finger 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 L3978 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 |
|---|---|---|
| L3977-HCPCS | High | Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
| L3978-HCPCS | High | Shoulder elbow wrist hand finger orthosis, abduction positioning (airplane design), thoracic component and support bar, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
| L3980-HCPCS | Moderate | Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L3978. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L3978 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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