L8035 Medicaid reimbursement rate by state (2026)
Custom breast prosthesis, post mastectomy. Medicaid pays a median of $3,522.49 for L8035 across 38 states, from $2,196.13 in California to $5,283.74 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 38
- National median
- $3,522.49units vary by state
- Lowest
- $2,196.13California
- Highest
- $5,283.74Alaska
What does Medicaid pay for L8035?
38 state Medicaid programs publish a fee-for-service rate for L8035 at the nurse midwife level. The national median is $3,522.49 (units differ between states). Alaska pays the most, $5,283.74, and California the least, $2,196.13, a 2.4x spread.
L8035 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L8035?
It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $3,522.49. Alaska pays the most ($5,283.74) and California the least ($2,196.13).
Which state pays the highest Medicaid rate for L8035?
Alaska, at $5,283.74, effective 2026-01-01.
Do managed-care plans pay the same rate for L8035?
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.