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See a sample rate comparisonHCPCS L8420 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.
Prosthetic sock, multiple ply, below knee, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8420 |
National average reimbursement for HCPCS L8420 by major payers:
$21.75
$14.53
$16.19
$29.79
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HCPCS L8420
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$43.15Published rateThe Hospital Authority Of Habersham County
$20.35Published rateHca Health Services Of Tennessee, Inc., Tristar Centennial Medical Center
Quest Diagnostics Clinical Laboratories, Inc.
$15.56Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$14.38Published rateMichael Koch
Pathology Lab Of Georgia LLC
$11.64Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8420 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8420 code is part of the Prosthetic Procedures services used for Prosthetic Sheaths, Socks, and Shrinkers. 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 L8420 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 |
|---|---|---|
| L8417-HCPCS | Low | Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each |
| L8420-HCPCS | Low | Prosthetic sock, multiple ply, below knee, each |
| L8430-HCPCS | Low | Prosthetic sock, multiple ply, above knee, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8420 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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