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Billing code L8047 · Equipment & supplies

L8047 Medicaid reimbursement rate by state (2026)

Nasal septal prosthesis, provided by a non-physician. Medicaid pays a median of $1,324.80 for L8047 across 32 states, from $273.03 in Kentucky to $2,135.59 in Alaska.

Data as of Oct 5, 202632 statesEvery rate links to its official source

States publishing
32
National median
$1,324.80units vary by state
Lowest
$273.03Kentucky
Highest
$2,135.59Alaska
Answer

What does Medicaid pay for L8047?

32 state Medicaid programs publish a fee-for-service rate for L8047. The national median is $1,324.80 (units differ between states). Alaska pays the most, $2,135.59, and Kentucky the least, $273.03, a 7.8x spread.

State ranking

L8047 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 32 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$2,135.59——Not classified—
2North Dakota Source · since 2026-07-01$1,837.36——Not classified—
3Hawaii Source · since 2026-06-01$1,758.36——Plans negotiate; applies out of network—
16Nebraska Source · since 2026-07-01$1,340.94——Plans negotiate; applies out of network—
17Ohio Source · since 2026-01-01$1,308.66——Plans negotiate; applies out of network—
18Oregon Source · since 2024-10-01$1,277.98——Plans negotiate; applies out of network—
31Kansas Source · since 2026-07-01$390.44——Not classified—
32Kentucky Source · since 2020-01-01$273.03——State sets the plan rate—
See all 32 states for L8047 — start free

24 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 L8047 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 L8047?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $1,324.80. Alaska pays the most ($2,135.59) and Kentucky the least ($273.03).

Which state pays the highest Medicaid rate for L8047?

Alaska, at $2,135.59, effective 2026-01-01.

Do managed-care plans pay the same rate for L8047?

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.