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See a sample rate comparisonHCPCS L8515 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.
Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Voice Prosthetics and Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8515 |
National average reimbursement for HCPCS L8515 by major payers:
$64.12
$41.14
$45.85
$62.41
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HCPCS L8515
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$129.84Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$61.29Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$36.61Published rateColquitt Regional Medical Center
$33.27Published rateAlicia Encinas
Miguel A Arenas Md PC
$22.63Published rate
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See a sample payer proposalHCPCS L8515 vs. Other Voice Prosthetics and Accessories Codes
The HCPCS L8515 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 L8515 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 |
|---|---|---|
| L8514-HCPCS | Low | Tracheoesophageal puncture dilator, replacement only, each |
| L8515-HCPCS | Low | Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each |
| L8600-HCPCS | Moderate | Implantable breast prosthesis, silicone or equal |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8515 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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