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Billing code L8000 · Equipment & supplies

L8000 Medicaid reimbursement rate by state (2026)

Breast prosthesis, mastectomy bra. Medicaid pays a median of $35.76 for L8000 across 50 states, from $23.92 in Texas to $87.72 in Alaska.

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

States publishing
50
National median
$35.76units vary by state
Lowest
$23.92Texas
Highest
$87.72Alaska
Answer

What does Medicaid pay for L8000?

50 state Medicaid programs publish a fee-for-service rate for L8000. The national median is $35.76 (units differ between states). Alaska pays the most, $87.72, and Texas the least, $23.92, a 3.7x spread.

State ranking

L8000 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$87.72——Not classified—
2Hawaii Source · since 2026-06-01$76.63——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$52.70——Not classified—
25West Virginia Source · since 2026-04-01$35.76——Plans must pay at least this—
26District of Columbia Source · since 2026-04-01$35.76——Not classified—
27Arkansas Source · since 2025-06-04$35.48——Not classified—
49Louisiana Source · since 2012-07-01$24.93——Plans must pay at least this—
50Texas Source · since 2010-06-01$23.92——Plans negotiate; applies out of network—
See all 50 states for L8000 — 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 L8000 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 L8000?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $35.76. Alaska pays the most ($87.72) and Texas the least ($23.92).

Which state pays the highest Medicaid rate for L8000?

Alaska, at $87.72, effective 2026-01-01.

Do managed-care plans pay the same rate for L8000?

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.