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See a sample rate comparisonHCPCS L8415 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.
Prosthetic sheath, upper limb, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8415 |
National average reimbursement for HCPCS L8415 by major payers:
$24.82
$15.25
$16.53
$30.59
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HCPCS L8415
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$62.74Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$36.93Published rateQuest Diagnostics LLC Il
$14.35Published rateCity Of Hope National Medical Center
$11.19Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$8.56Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8415 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8415 code is part of the Prosthetic Procedures services used for Prosthetic Sheaths, Socks, and Shrinkers. 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 L8415 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 |
|---|---|---|
| L8410-HCPCS | Low | Prosthetic sheath, above knee, each |
| L8415-HCPCS | Low | Prosthetic sheath, upper limb, each |
| L8417-HCPCS | Low | Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8415. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8415 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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