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See a sample rate comparisonHCPCS L5060 Fee Schedule
Last Verified: October 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.
Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Ankle Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5060 |
National average reimbursement for HCPCS L5060 by major payers:
$3,414.70
$2,028.98
$2,205.61
$4,792.17
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HCPCS L5060
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$6,064.15Published rateUjuka Iloabuchi
$3,667.76Published rateQuest Diagnostics Venture LLC
$2,209.21Published rateAmy Moore
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$1,653.85Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$1,102.56Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L5060 vs. Other Ankle Prosthetics Codes
The HCPCS L5060 code is part of the Prosthetic Procedures services used for Ankle Prosthetics. 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 L5060 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 |
|---|---|---|
| L5050-HCPCS | High | Ankle, Symes, molded socket, SACH foot |
| L5060-HCPCS | High | Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot |
| L5100-HCPCS | High | Below knee, molded socket, shin, SACH foot |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5060 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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