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Billing code L0486 · Equipment & supplies

L0486 Medicaid reimbursement rate by state (2026)

Tlso, triplanar control. Medicaid pays a median of $1,741.85 for L0486 across 50 states, from $100.00 in Connecticut to $3,224.23 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$1,741.85units vary by state
Lowest
$100.00Connecticut
Highest
$3,224.23Alaska
Answer

What does Medicaid pay for L0486?

50 state Medicaid programs publish a fee-for-service rate for L0486. The national median is $1,741.85 (units differ between states). Alaska pays the most, $3,224.23, and Connecticut the least, $100.00, a 32.2x spread.

State ranking

L0486 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$3,224.23——Not classified—
2Maine Source · since 2026-01-01$2,888.80——Not classified—
3North Dakota Source · since 2026-07-01$2,862.43——Not classified—
25South Carolina Source · since 2024-07-01$1,750.42——Not classified—
26Kansas Source · since 2026-07-01$1,733.28——Plans must pay at least this—
27Mississippi Source · since 2026-07-01$1,733.28——Plans must pay at least this—
49Pennsylvania Source · since 2004-01-01$912.96——Plans negotiate; applies out of network—
50Connecticut Source · since 2017-03-01$100.00——Not classified—
See all 50 states for L0486 — start free

42 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track L0486 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L0486?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $1,741.85. Alaska pays the most ($3,224.23) and Connecticut the least ($100.00).

Which state pays the highest Medicaid rate for L0486?

Alaska, at $3,224.23, effective 2026-01-01.

Do managed-care plans pay the same rate for L0486?

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 workspace shows the rule for each state, cited to the contract or statute.