L8686 Medicaid Rate by State

Implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension

12 state Medicaid programs publish a fee-for-service rate for L8686 (implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension), ranging from $6,343.69 in Hawaii to $11,999.00 in Wisconsin.

Every state, kept current

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This page shows one representative rate per state for L8686. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

12

Median % of Medicare

--

Rate range

$6,343.69 - $11,999.00

L8686 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arizona$6,395.72----2026
Colorado$8,418.58--Required2026
Connecticut$7,618.70--Required2013
Hawaii$6,343.69----2025
Idaho$6,624.81--Not required2025
Indiana$9,301.77--Required2026
New Mexico$8,252.16----2025
Texas$6,885.47*----2016
Virginia$7,589.68----2012
Vermont$6,437.80----2026
Wisconsin$11,999.00----2017
Wyoming$6,478.03----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

All 94 codes from L8000 to L8696 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for L8686?

12 state Medicaid programs publish a fee-for-service rate for L8686 (implantable neurostimulator pulse generator, single array, non-rechargeable, includes extension), ranging from $6,343.69 in Hawaii to $11,999.00 in Wisconsin. The full table on this page lists every publishing state's current rate.

Which state pays the most for L8686?

Wisconsin publishes the highest Medicaid rate for L8686 at $11,999.00. Hawaii publishes the lowest at $6,343.69.

Does L8686 require prior authorization under Medicaid?

3 of the 12 publishing states flag L8686 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".