Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L8685. 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
12
Median % of Medicare
--
Rate range
$1,269.35 - $14,577.72
L8685 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $10,023.36 | -- | -- | 2026 |
| Colorado | $13,193.61 | -- | Required | 2026 |
| Connecticut | $11,940.07 | -- | Required | 2013 |
| Hawaii | $9,941.84 | -- | -- | 2025 |
| Idaho | $10,382.39 | -- | Required | 2025 |
| Indiana | $14,577.72 | -- | Required | 2026 |
| New Mexico | $12,932.82 | -- | -- | 2025 |
| Texas | $11,894.56* | -- | -- | 2021 |
| Virginia | $11,894.56 | -- | -- | 2012 |
| Vermont | $1,269.35 | -- | -- | 2026 |
| Wisconsin | $11,999.00 | -- | -- | 2006 |
| Wyoming | $10,152.39 | -- | -- | 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 L8685?
12 state Medicaid programs publish a fee-for-service rate for L8685 (implantable neurostimulator pulse generator, single array, rechargeable, includes extension), ranging from $1,269.35 in Vermont to $14,577.72 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for L8685?
Indiana publishes the highest Medicaid rate for L8685 at $14,577.72. Vermont publishes the lowest at $1,269.35.
Does L8685 require prior authorization under Medicaid?
4 of the 12 publishing states flag L8685 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".