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See a sample rate comparisonHCPCS L8480 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, single ply, fitting, above knee, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8480 |
National average reimbursement for HCPCS L8480 by major payers:
$10.42
$6.40
$7.04
$13.13
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HCPCS L8480
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$18.65Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$7.46Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$5.57Published rateStephens County Hospital Authority
$5.01Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$3.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8480 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8480 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 L8480 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 |
|---|---|---|
| L8470-HCPCS | Low | Prosthetic sock, single ply, fitting, below knee, each |
| L8480-HCPCS | Low | Prosthetic sock, single ply, fitting, above knee, each |
| L8485-HCPCS | Low | Prosthetic sock, single ply, fitting, upper limb, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8480. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8480 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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