Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L8049. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
14
Median % of Medicare
--
Rate range
$8.00 - $35.25
L8049 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $17.13 | -- | -- | 2011 |
| Colorado | $21.51 | -- | Required | 2026 |
| Connecticut | $19.91* | -- | -- | 2009 |
| Delaware | $15.69 | -- | -- | 2026 |
| Hawaii | $18.82 | -- | -- | 2025 |
| Indiana | $21.12 | -- | -- | 2026 |
| Kentucky | $20.92 | -- | -- | 2026 |
| Minnesota | $15.69 | -- | Conditional | 2002 |
| Nebraska | $22.54 | -- | -- | 2026 |
| New Hampshire | $19.71 | -- | Not required | 2026 |
| New Mexico | $23.06 | -- | -- | 2025 |
| Nevada | $8.00 | -- | -- | -- |
| Wisconsin | $35.25 | -- | -- | 2017 |
| Wyoming | $19.94 | -- | -- | 2021 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 94 codes from L8000 to L8696 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L8049?
14 state Medicaid programs publish a fee-for-service rate for L8049 (repair or modification of maxillofacial prosthesis, labor component, 15 minute increments, provided by a non-physician), ranging from $8.00 in Nevada to $35.25 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for L8049?
Wisconsin publishes the highest Medicaid rate for L8049 at $35.25. Nevada publishes the lowest at $8.00.
Does L8049 require prior authorization under Medicaid?
2 of the 14 publishing states flag L8049 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".