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See a sample rate comparisonHCPCS L8603 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.
Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Bulking Agents |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L8603 |
National average reimbursement for HCPCS L8603 by major payers:
$349.75
$286.17
$317.84
$528.59
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HCPCS L8603
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$917.72Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$356.01Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$262.60Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$247.17Published rateTaylor Regional Hospital
$228.61Published rate
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See a sample payer proposalHCPCS L8603 vs. Other Bulking Agents Codes
The HCPCS L8603 code is part of the Prosthetic Procedures services used for Bulking Agents. 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 L8603 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 |
|---|---|---|
| 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 |
| L8604-HCPCS | Low | Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, 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 L8603. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8603 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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