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L0469 Medicaid reimbursement rate by state (2026)

Tlso, sagittal-coronal control. Medicaid pays a median of $377.39 for L0469 across 45 states, from $135.01 in Utah to $723.07 in Alaska.

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

States publishing
45
National median
$377.39units vary by state
Lowest
$135.01Utah
Highest
$723.07Alaska

What does Medicaid pay for L0469?

45 state Medicaid programs publish a fee-for-service rate for L0469 at the physician psychologist level. The national median is $377.39 (units differ between states). Alaska pays the most, $723.07, and Utah the least, $135.01, a 5.4x spread.

L0469 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$723.07——Not classified—
2Hawaii Source · since 2026-06-01$539.05——Plans negotiate; applies out of network—
3Nevada Source · since 2019-11-01$538.21——Plans negotiate; applies out of network—
22Louisiana Source · since 2014-01-01$378.75——Plans must pay at least this—
23Minnesota Source · since 2026-01-01$377.39——Plans negotiate; applies out of network—
24Virginia Source · since 2023-01-01$366.17Each—Plans must pay at least this—
44Indiana Source · since 2026-01-01$194.21unit—Plans must pay at least this—
45Utah Source · since 2026-07-01$135.01——Plans negotiate; applies out of network—
See all 45 states for L0469 — start free

37 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 L0469 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 L0469?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $377.39. Alaska pays the most ($723.07) and Utah the least ($135.01).

Which state pays the highest Medicaid rate for L0469?

Alaska, at $723.07, effective 2026-01-01.

Do managed-care plans pay the same rate for L0469?

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.