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C8010 Medicaid reimbursement rates by state

Percutaneous placement of permanent common carotid embolic.... 10 state Medicaid programs publish a fee-for-service rate for C8010. Rates run from $191.44 in South Dakota to $17,500.50 in Connecticut, with a median of $7,396.97.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
10
Median rate
$7,396.97units vary by state
Highest
$17,500.50Connecticut
Medicare (non-facility)
—not on the physician fee schedule

C8010 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$17,500.50since 2026-07-01——Not classified—CMAP Addendum B - OPPS Payment Type by P
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$15,407.10since 2026-07-01——Not classified—Wyoming Medicaid APC-Based Fee Schedule
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$12,913.02since 2026-07-01——Plans negotiate; applies out of network—RI APC (Outpatient) Fee Schedule, as of
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$8,509.13since 2026-04-01——Not classified—Montana Healthcare Programs ASC Covered
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$7,556.37since 2026-04-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Ambulatory Su
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$7,237.56since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$4,896.50since 2026-07-01——Not classified—ND Medicaid Professional (General) Servi
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$4,655.78since 2026-10-01——Plans negotiate; applies out of network—AHCCCS Final Ambulatory Surgery Center R
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$4,450.27since 2026-07-01——Plans negotiate; applies out of network—MDHHS ASC payment rates, July 2026
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$191.44since 2026-07-31——Not classified—Outpatient Hospital Prospective Payment

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for C8010?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $7,396.97. Connecticut pays the most ($17,500.50) and South Dakota the least ($191.44).

Which state pays the highest Medicaid rate for C8010?

Connecticut, at $17,500.50, effective 2026-07-01.

Do managed-care plans pay the same rate for C8010?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Hospital outpatient codes

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