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See a sample rate comparisonHCPCS L8509 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.
Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Voice Prosthetics and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8509 |
National average reimbursement for HCPCS L8509 by major payers:
$108.64
$71.14
$85.04
$131.33
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HCPCS L8509
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$246.58Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$99.62Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$66.13Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$58.75Published rateKristina Jimenez
Miguel A Arenas Md PC
$39.16Published rate
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See a sample payer proposalHCPCS L8509 vs. Other Voice Prosthetics and Accessories Codes
The HCPCS L8509 code is part of the Prosthetic Procedures services used for Voice 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 L8509 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 |
|---|---|---|
| L8507-HCPCS | Low | Tracheo-esophageal voice prosthesis, patient inserted, any type, each |
| L8509-HCPCS | Low | Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type |
| L8510-HCPCS | Moderate | Voice amplifier |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8509. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8509 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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