# HCPCS L5629: Addition to lower extremity, below knee, acrylic socket

Medicare HCPCS L5629 pays $436.71 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $297.26 in Alaska to $571.07 in Puerto Rico, a 92% spread.

Web page: https://www.med-reveal.com/rates/L5629-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $436.71 |
| National facility | $436.71 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $571.07 | $571.07 |
| Arkansas | $518.74 | $518.74 |
| Connecticut | $518.74 | $518.74 |
| Louisiana | $518.74 | $518.74 |
| Maine | $518.74 | $518.74 |
| Massachusetts | $518.74 | $518.74 |
| New Hampshire | $518.74 | $518.74 |
| New Jersey | $518.74 | $518.74 |
| New Mexico | $518.74 | $518.74 |
| New York | $518.74 | $518.74 |
| Oklahoma | $518.74 | $518.74 |
| Rhode Island | $518.74 | $518.74 |
| Texas | $518.74 | $518.74 |
| Vermont | $518.74 | $518.74 |
| Virgin Islands | $518.74 | $518.74 |
| Delaware | $504.21 | $504.21 |
| District of Columbia | $504.21 | $504.21 |
| Maryland | $504.21 | $504.21 |
| Pennsylvania | $504.21 | $504.21 |
| Virginia | $504.21 | $504.21 |
| West Virginia | $504.21 | $504.21 |
| Alabama | $389.06 | $389.06 |
| Arizona | $389.06 | $389.06 |
| California | $389.06 | $389.06 |
| Colorado | $389.06 | $389.06 |
| Florida | $389.06 | $389.06 |
| Georgia | $389.06 | $389.06 |
| Idaho | $389.06 | $389.06 |
| Illinois | $389.06 | $389.06 |
| Indiana | $389.06 | $389.06 |
| Iowa | $389.06 | $389.06 |
| Kansas | $389.06 | $389.06 |
| Kentucky | $389.06 | $389.06 |
| Michigan | $389.06 | $389.06 |
| Minnesota | $389.06 | $389.06 |
| Mississippi | $389.06 | $389.06 |
| Missouri | $389.06 | $389.06 |
| Montana | $389.06 | $389.06 |
| Nebraska | $389.06 | $389.06 |
| Nevada | $389.06 | $389.06 |
| North Carolina | $389.06 | $389.06 |
| North Dakota | $389.06 | $389.06 |
| Ohio | $389.06 | $389.06 |
| Oregon | $389.06 | $389.06 |
| South Carolina | $389.06 | $389.06 |
| South Dakota | $389.06 | $389.06 |
| Tennessee | $389.06 | $389.06 |
| Utah | $389.06 | $389.06 |
| Washington | $389.06 | $389.06 |
| Wisconsin | $389.06 | $389.06 |
| Wyoming | $389.06 | $389.06 |
| Hawaii | $317.94 | $317.94 |
| Alaska | $297.26 | $297.26 |

## Related codes

- L5000: Partial foot prosthesis, shoe insert with longitudinal arch, toe filler — https://www.med-reveal.com/rates/L5000-hcpcs-fee-schedule
- L5010: Partial foot prosthesis, molded socket, ankle height, soft interface — https://www.med-reveal.com/rates/L5010-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

Commercial negotiated rates for L5629 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