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See a sample rate comparisonHCPCS L8511 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.
Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Voice Prosthetics and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8511 |
National average reimbursement for HCPCS L8511 by major payers:
$73.87
$47.37
$51.93
$87.58
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HCPCS L8511
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$149.65Published rateThe Hospital Authority Of Habersham County
$59.72Published rateChildrens National Medical Center
Childrens Hospital
$42.76Published rateWillamette Community Health Solutions, Cascade Health Solutions
$39.13Published rateDevon Daney
Aztec Urgent Care LLC
$36.18Published rate
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See a sample payer proposalHCPCS L8511 vs. Other Voice Prosthetics and Accessories Codes
The HCPCS L8511 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 L8511 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 |
|---|---|---|
| L8510-HCPCS | Moderate | Voice amplifier |
| L8511-HCPCS | Low | Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each |
| L8512-HCPCS | Low | Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8511. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8511 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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