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Billing code L8696 · Equipment & supplies

L8696 Medicaid reimbursement rate by state (2026)

Antenna (external) for use with implantable.... Medicaid pays a median of $209.01 for L8696 across 19 states, from $66.39 in Kansas to $270.37 in Montana.

Data as of Oct 5, 202619 statesEvery rate links to its official source

States publishing
19
National median
$209.01units vary by state
Lowest
$66.39Kansas
Highest
$270.37Montana
Answer

What does Medicaid pay for L8696?

19 state Medicaid programs publish a fee-for-service rate for L8696. The national median is $209.01 (units differ between states). Montana pays the most, $270.37, and Kansas the least, $66.39, a 4.1x spread.

State ranking

L8696 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$270.37——Not classified—
2New Mexico Source · since 2025-01-01$263.05——Plans must pay at least this—
3Indiana Source · since 2026-01-01$261.63unit—Plans must pay at least this—
9Arizona Source · since 2026-10-01$218.24——Plans negotiate; applies out of network—
10Kentucky Source · since 2020-01-01$209.01——State sets the plan rate—
11District of Columbia Source · since 2026-04-01$208.39——Not classified—
18Rhode Island Source · since 2015-01-01$172.46——Plans negotiate; applies out of network—
19Kansas Source · since 2026-07-01$66.39——Not classified—
See all 19 states for L8696 — start free

11 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 L8696 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 L8696?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $209.01. Montana pays the most ($270.37) and Kansas the least ($66.39).

Which state pays the highest Medicaid rate for L8696?

Montana, at $270.37, effective 2026-01-01.

Do managed-care plans pay the same rate for L8696?

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.