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See a sample rate comparisonHCPCS L8460 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 shrinker, above knee, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Sheaths, Socks, and Shrinkers |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8460 |
National average reimbursement for HCPCS L8460 by major payers:
$77.64
$47.19
$52.30
$95.08
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HCPCS L8460
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$168.37Published rateChu Chen
$89.87Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$58.50Published rateKamran Rajaee
$43.68Published rateDonalsonville Hospital Inc
$38.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8460 vs. Other Prosthetic Sheaths, Socks, and Shrinkers Codes
The HCPCS L8460 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 L8460 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 |
|---|---|---|
| L8440-HCPCS | Low | Prosthetic shrinker, below knee, each |
| L8460-HCPCS | Low | Prosthetic shrinker, above knee, each |
| L8465-HCPCS | Low | Prosthetic shrinker, upper limb, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8460 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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