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Billing code L8046 · Equipment & supplies

L8046 Medicaid reimbursement rate by state (2026)

Partial facial prosthesis, provided by a non-physician. Medicaid pays a median of $2,553.48 for L8046 across 31 states, from $532.74 in Kentucky to $4,166.96 in Alaska.

Data as of Oct 5, 202631 statesEvery rate links to its official source

States publishing
31
National median
$2,553.48units vary by state
Lowest
$532.74Kentucky
Highest
$4,166.96Alaska
Answer

What does Medicaid pay for L8046?

31 state Medicaid programs publish a fee-for-service rate for L8046. The national median is $2,553.48 (units differ between states). Alaska pays the most, $4,166.96, and Kentucky the least, $532.74, a 7.8x spread.

State ranking

L8046 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$4,166.96——Not classified—
2North Dakota Source · since 2026-07-01$3,586.82——Not classified—
3Hawaii Source · since 2026-06-01$3,431.02——Plans negotiate; applies out of network—
15Nebraska Source · since 2026-07-01$2,616.46——Plans negotiate; applies out of network—
16Ohio Source · since 2026-01-01$2,553.48——Plans negotiate; applies out of network—
17Oregon Source · since 2024-10-01$2,493.63——Plans negotiate; applies out of network—
30Kansas Source · since 2026-07-01$761.81——Not classified—
31Kentucky Source · since 2020-01-01$532.74——State sets the plan rate—
See all 31 states for L8046 — start free

23 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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

Track L8046 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L8046?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $2,553.48. Alaska pays the most ($4,166.96) and Kentucky the least ($532.74).

Which state pays the highest Medicaid rate for L8046?

Alaska, at $4,166.96, effective 2026-01-01.

Do managed-care plans pay the same rate for L8046?

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.