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See a sample rate comparisonHCPCS L8002 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.
Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Breast Prosthetics and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8002 |
National average reimbursement for HCPCS L8002 by major payers:
$163.44
$107.12
$117.50
$233.87
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HCPCS L8002
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$355.56Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$135.44Published rateUjuka Iloabuchi
$99.91Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$88.76Published rateKristina Jimenez
Miguel A Arenas Md PC
$59.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8002 vs. Other Breast Prosthetics and Accessories Codes
The HCPCS L8002 code is part of the Prosthetic Procedures services used for Breast Prosthetics and Accessories. 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 L8002 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 |
|---|---|---|
| L8001-HCPCS | Low | Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type |
| L8002-HCPCS | Low | Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8002 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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