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 comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Miscellaneous Orthotic and Prosthetic Services and Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L8690 |
National average reimbursement for HCPCS L8690 by major payers:

$4,807.41

$3,096.62

$3,519.09

$6,949.05
Choose a payer to see a sample of rates for HCPCS L8690.
Public Hospital District 1 Of King County
Franciscan Medical Group
Hearing By Design, Inc. Dba Puge
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS L8690 vs. Other Miscellaneous Orthotic and Prosthetic Services and Supplies Codes
The HCPCS L8690 code is part of the Prosthetic Procedures services used for Miscellaneous Orthotic and Prosthetic Services and Supplies. 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 L8690 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 |
|---|---|---|
| L8689-HCPCS | High | External recharging system for battery (internal) for use with implantable neurostimulator, replacement only |
| L8690-HCPCS | High | Auditory osseointegrated device, includes all internal and external components |
| L8691-HCPCS | High | Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8690 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.
Bring your top codes (like HCPCS L8690) and we'll show you how you compare in 15 minutes or less.