C8012 Medicaid reimbursement rates by state
Revision or replacement of hypoglossal nerve(s).... 11 state Medicaid programs publish a fee-for-service rate for C8012. Rates run from $124.53 in South Dakota to $11,759.71 in Rhode Island, with a median of $6,359.84.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 11
- Median rate
- $6,359.84units vary by state
- Highest
- $11,759.71Rhode Island
- Medicare (non-facility)
- —not on the physician fee schedule
C8012 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service) | $11,759.71since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | RI APC (Outpatient) Fee Schedule, as of |
| WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health) | $10,022.29since 2026-04-01 | — | — | Not classified | — | Wyoming Medicaid APC-Based Fee Schedule |
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $8,651.87since 2026-01-01 | — | — | Not classified | — | DVHA OPPS Fee Schedule workbook, Septemb |
| MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service) | $7,477.20since 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) | $6,639.99since 2026-01-01 | — | — | 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) | $6,359.84since 2026-07-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $5,462.04since 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) | $3,910.58since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS ASC payment rates, July 2026 |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $124.53since 2026-04-01 | — | — | Not classified | — | CMAP Addendum B - OPPS Payment Type by P |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $124.53since 2026-04-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Addendum B (CY 26-April) ' |
| South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services) | $124.53since 2026-04-23 | — | — | 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 C8012?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $6,359.84. Rhode Island pays the most ($11,759.71) and South Dakota the least ($124.53).
Which state pays the highest Medicaid rate for C8012?
Rhode Island, at $11,759.71, effective 2026-07-01.
Do managed-care plans pay the same rate for C8012?
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.