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See a sample rate comparisonHCPCS L8691 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.
Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Miscellaneous Orthotic and Prosthetic Services and Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for L8691 |
National average reimbursement for HCPCS L8691 by major payers:
$2,086.17
$1,413.58
$1,449.08
$2,528.82
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HCPCS L8691
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$3,887.91Published rateIrwin County Hospital
$2,189.04Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$1,824.19Published rateCindy Chang
Miguel A Arenas Md PC
$1,371.04Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$926.78Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L8691 vs. Other Miscellaneous Orthotic and Prosthetic Services and Supplies Codes
The HCPCS L8691 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 L8691 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 |
|---|---|---|
| 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 |
| L8692-HCPCS | High | Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8691. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8691 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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