L0490 Medicaid reimbursement rate by state (2026)
Tlso, sagittal-coronal control. Medicaid pays a median of $271.23 for L0490 across 49 states, from $177.82 in California to $1,049.59 in Wisconsin.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 49
- National median
- $271.23units vary by state
- Lowest
- $177.82California
- Highest
- $1,049.59Wisconsin
What does Medicaid pay for L0490?
49 state Medicaid programs publish a fee-for-service rate for L0490 at the nurse midwife level. The national median is $271.23 (units differ between states). Wisconsin pays the most, $1,049.59, and California the least, $177.82, a 5.9x spread.
L0490 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.
Frequently asked questions
What does Medicaid pay for L0490?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $271.23. Wisconsin pays the most ($1,049.59) and California the least ($177.82).
Which state pays the highest Medicaid rate for L0490?
Wisconsin, at $1,049.59, effective 2008-07-01.
Do managed-care plans pay the same rate for L0490?
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.