L8031 Medicaid reimbursement rate by state (2026)
Breast prosthesis, silicone or equal. Medicaid pays a median of $333.71 for L8031 across 33 states, from $182.44 in New York to $570.08 in Alaska.
- States publishing
- 33
- National median
- $333.71units vary by state
- Lowest
- $182.44New York
- Highest
- $570.08Alaska
What does Medicaid pay for L8031?
33 state Medicaid programs publish a fee-for-service rate for L8031. The national median is $333.71 (units differ between states). Alaska pays the most, $570.08, and New York the least, $182.44, a 3.1x spread.
L8031 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L8031?
It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $333.71. Alaska pays the most ($570.08) and New York the least ($182.44).
Which state pays the highest Medicaid rate for L8031?
Alaska, at $570.08, effective 2026-01-01.
Do managed-care plans pay the same rate for L8031?
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.