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See a sample rate comparisonHCPCS L8300 Fee Schedule
Last Verified: October 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.
Truss, single with standard pad
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Hernia Trusses |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8300 |
National average reimbursement for HCPCS L8300 by major payers:
$95.19
$60.57
$66.48
$120.65
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HCPCS L8300
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$185.22Published rateKeck Medical Center Of Usc, Keck Hospital Of Usc
Keck Medical Center Of Usc
$67.45Published rateUjuka Iloabuchi
$58.31Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$52.95Published rateAlicia Encinas
Miguel A Arenas Md PC
$33.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8300 vs. Other Hernia Trusses Codes
The HCPCS L8300 code is part of the Prosthetic Procedures services used for Hernia Trusses. 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 L8300 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 |
|---|---|---|
| L8049-HCPCS | Low | Repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician |
| L8300-HCPCS | Low | Truss, single with standard pad |
| L8310-HCPCS | Low | Truss, double with standard pads |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8300 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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