L8020 Medicaid reimbursement rate by state (2026)
Breast prosthesis, mastectomy form. Medicaid pays a median of $206.72 for L8020 across 50 states, from $91.47 in California to $306.30 in Delaware.
- States publishing
- 50
- National median
- $206.72units vary by state
- Lowest
- $91.47California
- Highest
- $306.30Delaware
What does Medicaid pay for L8020?
50 state Medicaid programs publish a fee-for-service rate for L8020. The national median is $206.72 (units differ between states). Delaware pays the most, $306.30, and California the least, $91.47, a 3.3x spread.
L8020 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L8020?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $206.72. Delaware pays the most ($306.30) and California the least ($91.47).
Which state pays the highest Medicaid rate for L8020?
Delaware, at $306.30, effective 2026-01-01.
Do managed-care plans pay the same rate for L8020?
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.