L8010 Medicaid reimbursement rate by state (2026)
Breast prosthesis, mastectomy sleeve. Medicaid pays a median of $45.17 for L8010 across 14 states, from $35.30 in Hawaii to $83.98 in North Carolina.
- States publishing
- 14
- National median
- $45.17units vary by state
- Lowest
- $35.30Hawaii
- Highest
- $83.98North Carolina
What does Medicaid pay for L8010?
14 state Medicaid programs publish a fee-for-service rate for L8010. The national median is $45.17 (units differ between states). North Carolina pays the most, $83.98, and Hawaii the least, $35.30, a 2.4x spread.
L8010 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L8010?
It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $45.17. North Carolina pays the most ($83.98) and Hawaii the least ($35.30).
Which state pays the highest Medicaid rate for L8010?
North Carolina, at $83.98.
Do managed-care plans pay the same rate for L8010?
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.