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L8658 Medicaid reimbursement rate by state (2026)

Interphalangeal joint spacer, silicone or equal, each. Medicaid pays a median of $356.53 for L8658 across 21 states, from $93.41 in Kansas to $448.37 in South Dakota.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
21
National median
$356.53units vary by state
Lowest
$93.41Kansas
Highest
$448.37South Dakota

What does Medicaid pay for L8658?

21 state Medicaid programs publish a fee-for-service rate for L8658 at the nurse midwife level. The national median is $356.53 (units differ between states). South Dakota pays the most, $448.37, and Kansas the least, $93.41, a 4.8x spread.

L8658 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-01-01$448.37——Not classified—
2Idaho Source · since 2026-07-01$430.44——Not classified—
3New Hampshire Source · since 2024-07-01$429.28——Not classified—
10New Mexico Source · since 2025-01-01$366.32——Plans must pay at least this—
11Utah Source · since 2026-07-01$356.53——Plans negotiate; applies out of network—
12Maryland Source · since 2026-01-01$342.65——Not classified—
20Nevada Source · since 2024-04-01$244.76——Plans must pay at least this—
21Kansas Source · since 2026-07-01$93.41——Not classified—
See all 21 states for L8658 — start free

13 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.

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 L8658 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L8658?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $356.53. South Dakota pays the most ($448.37) and Kansas the least ($93.41).

Which state pays the highest Medicaid rate for L8658?

South Dakota, at $448.37, effective 2026-01-01.

Do managed-care plans pay the same rate for L8658?

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.