Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS L8685 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Implantable neurostimulator pulse generator, single array, rechargeable, includes extension
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Implantable Neurostimulators and Components |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L8685 |
National average reimbursement for HCPCS L8685 by major payers:
$8,231.86
$6,181.05
$5,244.50
$6,513.24
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS L8685.
HCPCS L8685
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$18,653.29Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$10,210.27Published rateMichael Guillette
Aztec Urgent Care LLC
$6,580.25Published rateWillamette Community Health Solutions, Cascade Health Solutions
$4,271.41Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$2,841.91Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L8685 vs. Other Implantable Neurostimulators and Components Codes
The HCPCS L8685 code is part of the Prosthetic Procedures services used for Implantable Neurostimulators and Components. 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 L8685 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 |
|---|---|---|
| L8684-HCPCS | Moderate | Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement |
| L8685-HCPCS | High | Implantable neurostimulator pulse generator, single array, rechargeable, includes extension |
| L8686-HCPCS | High | Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8685. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8685 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS L8685) and we'll show you how you compare in 15 minutes or less.