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See a sample rate comparisonHCPCS L8514 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.
Tracheoesophageal puncture dilator, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Voice Prosthetics and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8514 |
National average reimbursement for HCPCS L8514 by major payers:
$95.21
$61.42
$67.27
$113.60
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HCPCS L8514
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$212.88Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$77.43Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$54.72Published rateDana Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$50.74Published rateKristina Jimenez
Miguel A Arenas Md PC
$33.81Published rate
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See a sample payer proposalHCPCS L8514 vs. Other Voice Prosthetics and Accessories Codes
The HCPCS L8514 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 L8514 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 |
|---|---|---|
| L8513-HCPCS | Low | Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each |
| L8514-HCPCS | Low | Tracheoesophageal puncture dilator, replacement only, each |
| L8515-HCPCS | Low | Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8514 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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