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L0220 Medicaid reimbursement rate by state (2026)

Thoracic, rib belt, custom fabricated. Medicaid pays a median of $113.77 for L0220 across 49 states, from $34.48 in California to $183.97 in New Mexico.

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

States publishing
49
National median
$113.77units vary by state
Lowest
$34.48California
Highest
$183.97New Mexico

What does Medicaid pay for L0220?

49 state Medicaid programs publish a fee-for-service rate for L0220 at the nurse midwife level. The national median is $113.77 (units differ between states). New Mexico pays the most, $183.97, and California the least, $34.48, a 5.3x spread.

L0220 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$183.97——Plans must pay at least this—
2North Dakota Source · since 2026-07-01$172.30——Not classified—
3Delaware Source · since 2026-01-01$162.05——Plans negotiate; applies out of network—
24Oregon Source · since 2024-10-01$115.95——Plans negotiate; applies out of network—
25Washington Source · since 2021-07-01$113.77——Plans negotiate; applies out of network—
26South Carolina Source · since 2024-07-01$113.70——Not classified—
48Iowa Source · since 2024-07-01$50.00——State sets the plan rate—
49California Source · since 2026-10-01$34.48——Plans negotiate; applies out of network—
See all 49 states for L0220 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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

Track L0220 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L0220?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $113.77. New Mexico pays the most ($183.97) and California the least ($34.48).

Which state pays the highest Medicaid rate for L0220?

New Mexico, at $183.97, effective 2025-01-01.

Do managed-care plans pay the same rate for L0220?

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