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See a sample rate comparisonHCPCS L8694 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.
Auditory osseointegrated device, transducer/actuator, replacement only, each
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Miscellaneous Orthotic and Prosthetic Services and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L8694 |
National average reimbursement for HCPCS L8694 by major payers:
$856.43
$641.09
$678.17
$1,136.12
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HCPCS L8694
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,035.46Published rateMarissa Liveris
Allergy & Asthma Of Dupage, S.C.
$1,355.44Published rateClinch County Hospital Authority
$600.17Published rateDana Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$508.22Published rateAlicia Encinas
Miguel A Arenas Md PC
$338.82Published rate
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See a sample payer proposalHCPCS L8694 vs. Other Miscellaneous Orthotic and Prosthetic Services and Supplies Codes
The HCPCS L8694 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 L8694 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 |
|---|---|---|
| L8693-HCPCS | High | Auditory osseointegrated device abutment, any length, replacement only |
| L8694-HCPCS | Moderate | Auditory osseointegrated device, transducer/actuator, replacement only, each |
| L8695-HCPCS | Low | External recharging system for battery (external) for use with implantable neurostimulator, replacement only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L8694. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L8694 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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