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L8701 Medicaid reimbursement rates by state

Powered upper extremity range of motion assist device. 11 state Medicaid programs publish a fee-for-service rate for L8701 at the nurse midwife level. Rates run from $0.00 in Arkansas to $34,970.13 in Minnesota, with a median of $29,313.20.

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

States publishing
11
Median rate
$29,313.20units vary by state
Highest
$34,970.13Minnesota
Medicare (non-facility)
—not on the physician fee schedule

L8701 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$34,970.13since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$34,970.13since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$34,284.44since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$34,284.44since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$29,724.61since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$29,313.20since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$29,298.32since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$27,427.55since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$25,026.34since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$100.00since 2024-10-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-03-26——Not classified—Arkansas Medicaid Child Health Services/

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L8701?

It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $29,313.20. Minnesota pays the most ($34,970.13) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for L8701?

Minnesota, at $34,970.13, effective 2026-01-01.

Do managed-care plans pay the same rate for L8701?

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 table shows the rule for each state, cited to the contract or statute.

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