L8043 Medicaid reimbursement rate by state (2026)
Upper facial prosthesis, provided by a non-physician. Medicaid pays a median of $3,663.06 for L8043 across 31 states, from $745.84 in Kentucky to $5,833.72 in Alaska.
- States publishing
- 31
- National median
- $3,663.06units vary by state
- Lowest
- $745.84Kentucky
- Highest
- $5,833.72Alaska
What does Medicaid pay for L8043?
31 state Medicaid programs publish a fee-for-service rate for L8043. The national median is $3,663.06 (units differ between states). Alaska pays the most, $5,833.72, and Kentucky the least, $745.84, a 7.8x spread.
L8043 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L8043?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $3,663.06. Alaska pays the most ($5,833.72) and Kentucky the least ($745.84).
Which state pays the highest Medicaid rate for L8043?
Alaska, at $5,833.72, effective 2026-01-01.
Do managed-care plans pay the same rate for L8043?
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.