L8641 Medicaid reimbursement rate by state (2026)
Metatarsal joint implant. Medicaid pays a median of $388.57 for L8641 across 20 states, from $107.14 in Kansas to $514.26 in South Dakota.
- States publishing
- 20
- National median
- $388.57units vary by state
- Lowest
- $107.14Kansas
- Highest
- $514.26South Dakota
What does Medicaid pay for L8641?
20 state Medicaid programs publish a fee-for-service rate for L8641. The national median is $388.57 (units differ between states). South Dakota pays the most, $514.26, and Kansas the least, $107.14, a 4.8x spread.
L8641 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.
Frequently asked questions
What does Medicaid pay for L8641?
It depends on the state. Of the 20 states with a published fee-for-service rate, the median is $388.57. South Dakota pays the most ($514.26) and Kansas the least ($107.14).
Which state pays the highest Medicaid rate for L8641?
South Dakota, at $514.26, effective 2026-01-01.
Do managed-care plans pay the same rate for L8641?
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.