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See a sample rate comparisonHCPCS L5700 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.
Replacement, socket, below knee, molded to patient model
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Replacement Sockets |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L5700 |
National average reimbursement for HCPCS L5700 by major payers:
$3,266.36
$1,961.92
$2,151.82
$4,369.84
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HCPCS L5700
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$6,397.64Published rateKeck Medical Center Of Usc, Keck Hospital Of Usc
Keck Medical Center Of Usc
$2,190.44Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$1,715.64Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$1,557.78Published rateKristina Jimenez
Miguel A Arenas Md PC
$1,093.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L5700 vs. Other Replacement Sockets Codes
The HCPCS L5700 code is part of the Prosthetic Procedures services used for Replacement Sockets. 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 L5700 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 |
|---|---|---|
| L5699-HCPCS | Moderate | All lower extremity prostheses, shoulder harness |
| L5700-HCPCS | High | Replacement, socket, below knee, molded to patient model |
| L5701-HCPCS | High | Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L5700. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L5700 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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