L8702 Medicaid reimbursement rate by state (2026)
Powered upper extremity range of motion assist device. Medicaid pays a median of $58,481.45 for L8702 across 11 states, from $100.00 in Connecticut to $68,801.71 in Minnesota.
- States publishing
- 11
- National median
- $58,481.45units vary by state
- Lowest
- $100.00Connecticut
- Highest
- $68,801.71Minnesota
What does Medicaid pay for L8702?
11 state Medicaid programs publish a fee-for-service rate for L8702. The national median is $58,481.45 (units differ between states). Minnesota pays the most, $68,801.71, and Connecticut the least, $100.00, a 688.0x spread.
L8702 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 11 states with every variant, modifier and effective date.
How to read this table
- Order. States are listed from the highest published rate to the lowest. No single unit is shared by 8 or more states for L8702, so the order is by published amount and is not a like-for-like rank.
- Medicaid rate. The most the state's fee-for-service program pays for one unit, as published. 2 of the 11 states list more than one rate for L8702, by modifier, provider type or setting; the table shows the one that matches the provider level and setting used across states, without add-ons.
- Unit. Of the 11 states, 1 publish L8702 per unit, and 10 schedules print no unit at all (a flat amount per service).
- Per hour. L8702 is not billed in time units in these states, so no hourly figure is shown.
- Managed-care plans. The rule the state sets for its plans on this rate. What each rule means is explained below.
- % of Medicare. No Medicare physician fee schedule amount is on file for L8702, so there is no percentage.
- Source and date. Each Source link opens the state's own document; “since” is the date the rate took effect.
Why L8702 rates differ between states
Published rates for L8702 run from $100.00 in Connecticut to $68,801.71 in Minnesota, a 688.0x gap in the same unit. Half the states pay more than the median of $58,481.45 and half pay less. The usual reasons for a spread like this in equipment & supplies rates:
- Many states set equipment and supply fees as a percentage of the Medicare DMEPOS fee schedule, at different percentages and from different years.
- A single code can carry separate purchase, rental and used-equipment amounts, and states publish different subsets of them.
- Some items are priced individually from the manufacturer's price or the supplier's invoice, so fewer states publish a fixed fee.
Timing matters too. 10 states set the current rate for L8702 in 2026 or later. A state that has not updated its rate in years will drift down the ranking as others raise theirs.
What managed-care plans pay for L8702
Most Medicaid members are in managed-care plans, and plans don't publish their provider fee schedules. For L8702, the public signal is the rule each state sets for its plans, recorded on each rate above.
In 1 state, the published rate binds plans: a floor, a pass-through or a state-set rate. In 6 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 4 states is not classified yet.
- Plans negotiate; the published rate applies out of network (6 states). In-network rates can be above or below the published rate. The published rate is the benchmark both sides know, and the fallback if no contract is signed.
- Plans must pay at least the published rate (1 state). The published rate is your floor. Negotiate up from it, and if a plan pays less, the contract provision is the basis for a payment dispute.
Plan-negotiated rates are never estimated here. To see the rule and its citation for a particular state, open that state's managed-care page, for example Minnesota managed care.
Units and billing for L8702
L8702 is a HCPCS Level II orthotic and prosthetic code in the equipment & supplies line, billed mostly by durable medical equipment suppliers, orthotists, prosthetists and pharmacies. L codes cover orthotic and prosthetic devices. Each is paid per device, and some are priced individually from the supplier's invoice.
Pricing modifiers decide which amount applies: NU for a new purchase, RR for a monthly rental and UE for used equipment. Units follow the code: per item, per pair, per box or per month of rental, so a per-unit comparison only holds when the states use the same unit.
Before billing, confirm the rate, unit and any modifier with the state's current schedule or the plan: the amounts here are as published, not a guarantee of payment.
Frequently asked questions
What does Medicaid pay for L8702?
It depends on the state. Of the 11 states with a published fee-for-service rate, the median is $58,481.45. Minnesota pays the most ($68,801.71) and Connecticut the least ($100.00).
Which state pays the highest Medicaid rate for L8702?
Minnesota, at $68,801.71, effective 2026-01-01.
Which state pays the lowest Medicaid rate for L8702?
Connecticut, at $100.00, effective 2024-10-01.
What unit is L8702 billed in?
Of the 11 states, 1 publish L8702 per unit, and 10 schedules print no unit at all (a flat amount per service).
Do managed-care plans pay the same rate for L8702?
Not necessarily. In 1 state, the published rate binds plans: a floor, a pass-through or a state-set rate. In 6 states, plans negotiate and the published rate is a benchmark or out-of-network default. The rule for the remaining 4 states is not classified yet. Each rule is cited to the plan contract, statute or notice in the workspace.