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See a sample rate comparisonHCPCS L4398 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.
Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf
| Key Fact | Detail |
|---|---|
| Service Type | Orthotic Procedures and services Other Lower Extremity Orthotics |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L4398 |
National average reimbursement for HCPCS L4398 by major payers:
$75.55
$49.70
$55.98
$109.96
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HCPCS L4398
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$173.62Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$63.27Published rateScreven County Hospital
$44.74Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$40.63Published rateKristina Jimenez
Miguel A Arenas Md PC
$27.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L4398 vs. Other Other Lower Extremity Orthotics Codes
The HCPCS L4398 code is part of the Orthotic Procedures and services services used for Other Lower Extremity 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 L4398 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 |
|---|---|---|
| L4397-HCPCS | Low | Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
| L4398-HCPCS | Low | Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf |
| L4631-HCPCS | High | Ankle foot orthosis (AFO), walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L4398. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L4398 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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