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HCPCS Code: L3465

Thomas Heel Shoe with Built-in Wedge (L3465)

Prices last updated: March 2026

Typical Healthcare System Prices

Private Insurance Price: $140.00

Private insurers typically reimburse about 2x the Medicare allowed amount.

Cash Pay Price (no insurance): $245.00

Without insurance, providers typically charge 3–5x the Medicare allowed amount.

Medicare Allowed Amount: $70.00

Original Medicare (Part B) covers 80% (~$56.00) after the $283 annual deductible. Your 20% coinsurance: ~$14.00. Medicare Advantage plans vary.

Estimated national averages. Actual costs vary by provider, region, and plan.

Get Better Medicare Coverage

Medicare Part B leaves you paying 20% out of pocket. Medicare Supplement (Medigap) plans can cover your coinsurance, deductibles, and more — potentially saving you thousands per year.

Your estimated 20% coinsurance: $14.00
With Medigap coverage: $0
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Same Product on Amazon

Amazon Price: $73.50
Save 70% — Buy on Amazon for $73.50

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Thomas heelbuilt-in wedge shoe

Price Comparison

Insurance
$140.00
Cash Pay
$245.00
Medicare
$70.00
Amazon
$73.50

Medicare Allowed Amount is the estimated national average. Original Medicare (Part B) covers 80% after the $283 annual deductible (2026). Medicare Advantage plans vary. Amounts differ by region.

About Thomas Heel Shoe with Built-in Wedge (L3465)

HCPCS code L3465 is the Medicare and insurance billing code for Thomas Heel Shoe with Built-in Wedge (L3465). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.

Durable medical equipment (DME) includes a wide range of devices and supplies prescribed by healthcare providers for use in the home. These items are covered by Medicare and most insurance plans under specific HCPCS billing codes, but out-of-pocket costs can vary significantly between providers.

Many patients find that purchasing DME items like thomas heel shoe with built-in wedge (l3465) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.

Frequently Asked Questions

What is HCPCS code L3465?

HCPCS code L3465 is the Medicare and insurance billing code for Thomas Heel Shoe with Built-in Wedge (L3465). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.

How much does Thomas Heel Shoe with Built-in Wedge (L3465) cost?

The typical private insurance price for Thomas Heel Shoe with Built-in Wedge (L3465) is $140.00. If paying cash without insurance, expect to pay around $245.00. The estimated Medicare Allowed Amount is $70.00. The same or equivalent product is available on Amazon for approximately $73.50.

How much does Medicare pay for Thomas Heel Shoe with Built-in Wedge (L3465)?

The estimated Medicare Allowed Amount for Thomas Heel Shoe with Built-in Wedge (L3465) is $70.00. Under Original Medicare Part B, Medicare covers 80% (approximately $56.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $14.00. Medicare Advantage plan costs vary.

Can I buy Thomas Heel Shoe with Built-in Wedge (L3465) on Amazon instead of through my insurance?

Yes. Many durable medical equipment items covered under HCPCS code L3465 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.

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Prices are estimates and may vary. We earn commissions as an Amazon Associate and through Medicare insurance referrals. Actual prices may vary based on inventory and promotions.

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