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Billing code L8415 · Equipment & supplies

L8415 Medicaid reimbursement rate by state (2026)

Prosthetic sheath, upper limb, each. Medicaid pays a median of $20.99 for L8415 across 49 states, from $8.07 in Wisconsin to $36.05 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$20.99units vary by state
Lowest
$8.07Wisconsin
Highest
$36.05Alaska
Answer

What does Medicaid pay for L8415?

49 state Medicaid programs publish a fee-for-service rate for L8415. The national median is $20.99 (units differ between states). Alaska pays the most, $36.05, and Wisconsin the least, $8.07, a 4.5x spread.

State ranking

L8415 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$36.05——Not classified—
2Maine Source · since 2026-01-01$34.99——Not classified—
3North Dakota Source · since 2026-07-01$33.37——Not classified—
24South Carolina Source · since 2024-07-01$21.20——Not classified—
25Mississippi Source · since 2026-07-01$20.99——Plans must pay at least this—
26Utah Source · since 2025-07-01$20.74——Plans negotiate; applies out of network—
48Florida Source · since 2026-07-01$9.37——Plans negotiate; applies out of network—
49Wisconsin Source · since 2008-07-01$8.07——Plans negotiate; applies out of network—
See all 49 states for L8415 — start free

41 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 L8415 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 L8415?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $20.99. Alaska pays the most ($36.05) and Wisconsin the least ($8.07).

Which state pays the highest Medicaid rate for L8415?

Alaska, at $36.05, effective 2026-01-01.

Do managed-care plans pay the same rate for L8415?

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.