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See a sample rate comparisonHCPCS L8607 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 for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Bulking Agents |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for L8607 |
National average reimbursement for HCPCS L8607 by major payers:
$39.63
$28.87
$37.62
$51.45
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HCPCS L8607
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Gwinnett
Northside Hospital Inc
$165.66Published rateEmory University Hospital
Emory University
$87.93Published rateQuang Luu
Head And Neck Associates Of Orange County, Inc.
$36.61Published rateHospital Authority Of Jenkins County
$26.78Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$24.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8607 vs. Other Bulking Agents Codes
The HCPCS L8607 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 L8607 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 |
|---|---|---|
| L8606-HCPCS | Low | Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies |
| L8607-HCPCS | Low | Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies |
| L8608-HCPCS | Moderate | Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8607 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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