L8015 Medicaid reimbursement rate by state (2026)
External breast prosthesis garment, with mastectomy form. Medicaid pays a median of $56.77 for L8015 across 46 states, from $25.00 in Illinois to $86.46 in Alaska.
- States publishing
- 46
- National median
- $56.77units vary by state
- Lowest
- $25.00Illinois
- Highest
- $86.46Alaska
What does Medicaid pay for L8015?
46 state Medicaid programs publish a fee-for-service rate for L8015. The national median is $56.77 (units differ between states). Alaska pays the most, $86.46, and Illinois the least, $25.00, a 3.5x spread.
L8015 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L8015?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $56.77. Alaska pays the most ($86.46) and Illinois the least ($25.00).
Which state pays the highest Medicaid rate for L8015?
Alaska, at $86.46, effective 2026-01-01.
Do managed-care plans pay the same rate for L8015?
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.