C8009 Medicaid reimbursement rates by state
Removal of hypoglossal nerve neurostimulator array and pulse.... 5 state Medicaid programs publish a fee-for-service rate for C8009. Rates run from $38.18 in Iowa to $1,933.67 in Missouri, with a median of $1,138.82.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $1,138.82units vary by state
- Highest
- $1,933.67Missouri
- Medicare (non-facility)
- —not on the physician fee schedule
C8009 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $1,933.67since 2026-01-01 | — | — | Plans negotiate; applies out of network | — | MO HealthNet fee schedule: Ambulatory Su |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $1,296.54since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS Final Ambulatory Surgery Center R |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $1,138.82since 2026-07-01 | — | — | Plans negotiate; applies out of network | — | MDHHS ASC payment rates, July 2026 |
| ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP) | $38.18since 2026-04-01 | — | — | Not classified | — | CMAP Addendum B - OPPS Payment Type by P |
| IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay) | $38.18since 2026-04-01 | — | — | Plans must pay at least this | — | Iowa Medicaid Addendum B (CY 26-April) ' |
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 C8009?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $1,138.82. Missouri pays the most ($1,933.67) and Iowa the least ($38.18).
Which state pays the highest Medicaid rate for C8009?
Missouri, at $1,933.67, effective 2026-01-01.
Do managed-care plans pay the same rate for C8009?
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.