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L0641 Medicaid reimbursement rate by state (2026)

Lumbar orthosis, sagittal control. Medicaid pays a median of $58.76 for L0641 across 46 states, from $21.23 in Utah to $106.92 in Alaska.

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

States publishing
46
National median
$58.76units vary by state
Lowest
$21.23Utah
Highest
$106.92Alaska

What does Medicaid pay for L0641?

46 state Medicaid programs publish a fee-for-service rate for L0641 at the physician psychologist level. The national median is $58.76 (units differ between states). Alaska pays the most, $106.92, and Utah the least, $21.23, a 5.0x spread.

L0641 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$106.92——Not classified—
2Hawaii Source · since 2026-06-01$84.79——Plans negotiate; applies out of network—
3Nebraska Source · since 2026-07-01$84.17——Plans negotiate; applies out of network—
23Oregon Source · since 2014-01-01$59.25——Plans negotiate; applies out of network—
24Virginia Source · since 2023-01-01$58.27Each—Plans must pay at least this—
25Michigan Source · since 2026-01-01$57.85——Plans negotiate; applies out of network—
45Indiana Source · since 2026-01-01$30.55unit—Plans must pay at least this—
46Utah Source · since 2026-07-01$21.23——Plans negotiate; applies out of network—
See all 46 states for L0641 — start free

38 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 L0641 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 L0641?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $58.76. Alaska pays the most ($106.92) and Utah the least ($21.23).

Which state pays the highest Medicaid rate for L0641?

Alaska, at $106.92, effective 2026-01-01.

Do managed-care plans pay the same rate for L0641?

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.