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L8693 Medicaid reimbursement rates by state

Auditory osseointegrated device abutment, any length. 27 state Medicaid programs publish a fee-for-service rate for L8693 at the nurse midwife level. Rates run from $0.00 in Arkansas to $1,891.40 in Montana, with a median of $1,429.32.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
27
Median rate
$1,429.32units vary by state
Highest
$1,891.40Montana
Medicare (non-facility)
—not on the physician fee schedule

L8693 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,891.40since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,867.13since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,840.31since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,830.52since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$1,822.38since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,758.60since 2026-07-01——Plans negotiate; applies out of network—HCA Hearing hardware fee schedule (heari
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,700.57since 2025-12-01——Plans negotiate; applies out of network—Rates for Hearing Services (effective De
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1,574.53since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,570.30since 2024-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,527.59since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,526.81since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,501.82since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$1,494.12since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,429.32since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$1,414.77since 2012-10-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,413.66since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,374.21since 2026-01-01——Plans negotiate; applies out of network—MDHHS Hearing Services Fee Schedule data
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$1,353.58since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$1,336.90since 2012-09-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,317.92since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,313.98since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,275.67since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,194.42since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$1,174.36since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,105.38since 2019-01-01——Plans negotiate; applies out of network—Orthotic and Prosthetic Fee Schedule 1st
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$464.51since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-03-26——Not classified—Arkansas Medicaid Child Health Services/

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

Frequently asked questions

What does Medicaid pay for L8693?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $1,429.32. Montana pays the most ($1,891.40) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for L8693?

Montana, at $1,891.40, effective 2026-01-01.

Do managed-care plans pay the same rate for L8693?

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 table shows the rule for each state, cited to the contract or statute.

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