L0638 Medicaid reimbursement rate by state (2026)
Lumbar-sacral orthosis, sagittal-coronal control. Medicaid pays a median of $1,265.62 for L0638 across 49 states, from $100.00 in Connecticut to $1,898.42 in Alaska.
- States publishing
- 49
- National median
- $1,265.62units vary by state
- Lowest
- $100.00Connecticut
- Highest
- $1,898.42Alaska
What does Medicaid pay for L0638?
49 state Medicaid programs publish a fee-for-service rate for L0638. The national median is $1,265.62 (units differ between states). Alaska pays the most, $1,898.42, and Connecticut the least, $100.00, a 19.0x spread.
L0638 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 L0638?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $1,265.62. Alaska pays the most ($1,898.42) and Connecticut the least ($100.00).
Which state pays the highest Medicaid rate for L0638?
Alaska, at $1,898.42, effective 2026-01-01.
Do managed-care plans pay the same rate for L0638?
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.