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See a sample rate comparisonHCPCS L8320 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, addition to standard pad, water pad
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Hernia Trusses |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8320 |
National average reimbursement for HCPCS L8320 by major payers:
$60.98
$39.77
$44.99
$87.80
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HCPCS L8320
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$155.45Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$44.25Published rateQuest Diagnostics Venture LLC
$42.75Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$35.56Published rateKristina Jimenez
Miguel A Arenas Md PC
$21.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8320 vs. Other Hernia Trusses Codes
The HCPCS L8320 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 L8320 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 |
|---|---|---|
| L8310-HCPCS | Low | Truss, double with standard pads |
| L8320-HCPCS | Low | Truss, addition to standard pad, water pad |
| L8330-HCPCS | Low | Truss, addition to standard pad, scrotal pad |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8320 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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