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Billing code L8630 · Equipment & supplies

L8630 Medicaid reimbursement rate by state (2026)

Metacarpophalangeal joint implant. Medicaid pays a median of $349.98 for L8630 across 20 states, from $103.12 in Kansas to $549.94 in Minnesota.

Data as of Oct 5, 202620 statesEvery rate links to its official source

States publishing
20
National median
$349.98units vary by state
Lowest
$103.12Kansas
Highest
$549.94Minnesota
Answer

What does Medicaid pay for L8630?

20 state Medicaid programs publish a fee-for-service rate for L8630. The national median is $349.98 (units differ between states). Minnesota pays the most, $549.94, and Kansas the least, $103.12, a 5.3x spread.

State ranking

L8630 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 20 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2026-01-01$549.94——Plans negotiate; applies out of network—
2Indiana Source · since 2026-01-01$539.16unit—Plans must pay at least this—
3South Dakota Source · since 2026-01-01$487.98——Not classified—
10Rhode Island Source · since 2012-07-01$354.39——Plans negotiate; applies out of network—
11Arizona Source · since 2026-10-01$345.56——Plans negotiate; applies out of network—
12Wyoming Source · since 2021-01-01$333.85——Not classified—
19Nevada Source · since 2024-04-01$270.19——Plans must pay at least this—
20Kansas Source · since 2026-07-01$103.12——Not classified—
See all 20 states for L8630 — start free

12 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 L8630 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 L8630?

It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $349.98. Minnesota pays the most ($549.94) and Kansas the least ($103.12).

Which state pays the highest Medicaid rate for L8630?

Minnesota, at $549.94, effective 2026-01-01.

Do managed-care plans pay the same rate for L8630?

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.