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See a sample rate comparisonHCPCS L8600 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.
Implantable breast prosthesis, silicone or equal
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Prosthetic Breast Implant |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L8600 |
National average reimbursement for HCPCS L8600 by major payers:
$726.07
$440.62
$494.06
$889.59
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HCPCS L8600
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,382.96Published rateUjuka Iloabuchi
$829.21Published rateWillamette Community Health Solutions, Cascade Health Solutions
$373.91Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$358.29Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$224.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8600 vs. Other Prosthetic Breast Implant Codes
The HCPCS L8600 code is part of the Prosthetic Procedures services used for Prosthetic Breast Implant. 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 L8600 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 |
|---|---|---|
| L8515-HCPCS | Low | Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each |
| L8600-HCPCS | Moderate | Implantable breast prosthesis, silicone or equal |
| L8603-HCPCS | Moderate | Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8600 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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