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See a sample rate comparisonHCPCS L8044 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Hemi-facial prosthesis, provided by a non-physician
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Facial and External Ear Prosthetics |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L8044 |
National average reimbursement for HCPCS L8044 by major payers:
$4,189.39
$2,746.72
$2,972.34
$4,064.68
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HCPCS L8044
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$8,705.73Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$2,744.00Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$2,335.05Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$1,110.77Published rateChristopher Raio
Mercy Medical Center
$658.56Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8044 vs. Other Facial and External Ear Prosthetics Codes
The HCPCS L8044 code is part of the Prosthetic Procedures services used for Facial and External Ear Prosthetics. 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 L8044 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 |
|---|---|---|
| L8043-HCPCS | High | Upper facial prosthesis, provided by a non-physician |
| L8044-HCPCS | High | Hemi-facial prosthesis, provided by a non-physician |
| L8045-HCPCS | High | Auricular prosthesis, provided by a non-physician |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8044. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8044 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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