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See a sample rate comparisonHCPCS L8435 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, upper limb, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8435 |
National average reimbursement for HCPCS L8435 by major payers:
$26.14
$15.31
$17.13
$32.05
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HCPCS L8435
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$59.60Published rateEmory Crawford Long Hospital
Emory University
$42.59Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Physician Group Inc
$22.30Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$14.81Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$9.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8435 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8435 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 L8435 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 |
|---|---|---|
| L8430-HCPCS | Low | Prosthetic sock, multiple ply, above knee, each |
| L8435-HCPCS | Low | Prosthetic sock, multiple ply, upper limb, each |
| L8440-HCPCS | Low | Prosthetic shrinker, below 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 L8435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8435 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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