# HCPCS L5010: Partial foot prosthesis, molded socket, ankle height, soft interface

Medicare HCPCS L5010 pays $1,656.98 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $999.36 in Puerto Rico to $1,971.82 in Illinois, a 97% spread.

Web page: https://www.med-reveal.com/rates/L5010-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,656.98 |
| National facility | $1,656.98 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Illinois | $1,971.82 | $1,971.82 |
| Indiana | $1,971.82 | $1,971.82 |
| Michigan | $1,971.82 | $1,971.82 |
| Minnesota | $1,971.82 | $1,971.82 |
| Ohio | $1,971.82 | $1,971.82 |
| Wisconsin | $1,971.82 | $1,971.82 |
| New Jersey | $1,892.02 | $1,892.02 |
| New York | $1,892.02 | $1,892.02 |
| Virgin Islands | $1,892.02 | $1,892.02 |
| Arkansas | $1,872.71 | $1,872.71 |
| Louisiana | $1,872.71 | $1,872.71 |
| New Mexico | $1,872.71 | $1,872.71 |
| Oklahoma | $1,872.71 | $1,872.71 |
| Texas | $1,872.71 | $1,872.71 |
| Hawaii | $1,732.39 | $1,732.39 |
| Iowa | $1,725.84 | $1,725.84 |
| Kansas | $1,725.84 | $1,725.84 |
| Missouri | $1,725.84 | $1,725.84 |
| Nebraska | $1,725.84 | $1,725.84 |
| Arizona | $1,651.72 | $1,651.72 |
| California | $1,651.72 | $1,651.72 |
| Nevada | $1,651.72 | $1,651.72 |
| Colorado | $1,635.10 | $1,635.10 |
| Montana | $1,635.10 | $1,635.10 |
| North Dakota | $1,635.10 | $1,635.10 |
| South Dakota | $1,635.10 | $1,635.10 |
| Utah | $1,635.10 | $1,635.10 |
| Wyoming | $1,635.10 | $1,635.10 |
| Alaska | $1,620.13 | $1,620.13 |
| Alabama | $1,564.83 | $1,564.83 |
| Florida | $1,564.83 | $1,564.83 |
| Georgia | $1,564.83 | $1,564.83 |
| Kentucky | $1,564.83 | $1,564.83 |
| Mississippi | $1,564.83 | $1,564.83 |
| North Carolina | $1,564.83 | $1,564.83 |
| South Carolina | $1,564.83 | $1,564.83 |
| Tennessee | $1,564.83 | $1,564.83 |
| Connecticut | $1,499.32 | $1,499.32 |
| Maine | $1,499.32 | $1,499.32 |
| Massachusetts | $1,499.32 | $1,499.32 |
| New Hampshire | $1,499.32 | $1,499.32 |
| Rhode Island | $1,499.32 | $1,499.32 |
| Vermont | $1,499.32 | $1,499.32 |
| Delaware | $1,490.45 | $1,490.45 |
| District of Columbia | $1,490.45 | $1,490.45 |
| Idaho | $1,490.45 | $1,490.45 |
| Maryland | $1,490.45 | $1,490.45 |
| Oregon | $1,490.45 | $1,490.45 |
| Pennsylvania | $1,490.45 | $1,490.45 |
| Virginia | $1,490.45 | $1,490.45 |
| Washington | $1,490.45 | $1,490.45 |
| West Virginia | $1,490.45 | $1,490.45 |
| Puerto Rico | $999.36 | $999.36 |

## Related codes

- L5000: Partial foot prosthesis, shoe insert with longitudinal arch, toe filler — https://www.med-reveal.com/rates/L5000-hcpcs-fee-schedule
- L5050: Ankle symes prosthesis, molded socket — https://www.med-reveal.com/rates/L5050-hcpcs-fee-schedule
- L5100: Below knee prosthesis, molded socket, shin, SACH foot — https://www.med-reveal.com/rates/L5100-hcpcs-fee-schedule
- L5200: Above knee prosthesis, molded socket, single axis constant friction knee — https://www.med-reveal.com/rates/L5200-hcpcs-fee-schedule
- L5301: Below knee prosthesis, molded socket, shin, SACH foot, endoskeletal system — https://www.med-reveal.com/rates/L5301-hcpcs-fee-schedule
- L5321: Above knee prosthesis, molded socket, open end, endoskeletal system — https://www.med-reveal.com/rates/L5321-hcpcs-fee-schedule
- L5400: Immediate post-surgical or early fitting, application of initial rigid dressing — https://www.med-reveal.com/rates/L5400-hcpcs-fee-schedule
- L5500: Initial, below knee PTB type socket, non-alignable system — https://www.med-reveal.com/rates/L5500-hcpcs-fee-schedule

Commercial negotiated rates for L5010 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
