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Billing code L0622 · Equipment & supplies

L0622 Medicaid reimbursement rate by state (2026)

Sacroiliac orthosis, flexible. Medicaid pays a median of $261.13 for L0622 across 48 states, from $100.00 in Connecticut to $551.36 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$261.13units vary by state
Lowest
$100.00Connecticut
Highest
$551.36Alaska
Answer

What does Medicaid pay for L0622?

48 state Medicaid programs publish a fee-for-service rate for L0622. The national median is $261.13 (units differ between states). Alaska pays the most, $551.36, and Connecticut the least, $100.00, a 5.5x spread.

State ranking

L0622 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$551.36——Not classified—
2Hawaii Source · since 2026-06-01$481.68——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$395.82——Not classified—
24South Dakota Source · since 2026-01-01$267.18——Not classified—
25Rhode Island Source · since 2012-07-01$255.07——Plans negotiate; applies out of network—
26Michigan Source · since 2026-01-01$243.08——Plans negotiate; applies out of network—
47Colorado Source · since 2026-07-01$155.77——Plans negotiate; applies out of network—
48Connecticut Source · since 2017-03-01$100.00——Not classified—
See all 48 states for L0622 — start free

40 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.

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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 L0622 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L0622?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $261.13. Alaska pays the most ($551.36) and Connecticut the least ($100.00).

Which state pays the highest Medicaid rate for L0622?

Alaska, at $551.36, effective 2026-01-01.

Do managed-care plans pay the same rate for L0622?

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.