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L0720 Medicaid reimbursement rate by state (2026)

Cervical-thoracic-lumbar-sacral-orthoses (ctlso). Medicaid pays a median of $1,888.68 for L0720 across 32 states, from $100.00 in Connecticut to $2,616.57 in North Dakota.

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

States publishing
32
National median
$1,888.68units vary by state
Lowest
$100.00Connecticut
Highest
$2,616.57North Dakota

What does Medicaid pay for L0720?

32 state Medicaid programs publish a fee-for-service rate for L0720. The national median is $1,888.68 (units differ between states). North Dakota pays the most, $2,616.57, and Connecticut the least, $100.00, a 26.2x spread.

L0720 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 32 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$2,616.57——Not classified—
2Indiana Source · since 2026-01-01$2,395.25unit—Plans must pay at least this—
3Minnesota Source · since 2026-01-01$2,381.24——Plans negotiate; applies out of network—
16Massachusetts Source · since 2026-07-01$1,889.76——Plans negotiate; applies out of network—
17Maryland Source · since 2026-01-01$1,887.59——Not classified—
18Wisconsin Source · since 2025-04-01$1,867.64——Plans negotiate; applies out of network—
31Ohio Source · since 2025-04-01$1,500.00Each—Plans negotiate; applies out of network—
32Connecticut Source · since 2025-04-01$100.00——Not classified—
See all 32 states for L0720 — start free

24 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 L0720 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 L0720?

It depends on the state. Of the 32 states with a published fee-for-service rate, the median is $1,888.68. North Dakota pays the most ($2,616.57) and Connecticut the least ($100.00).

Which state pays the highest Medicaid rate for L0720?

North Dakota, at $2,616.57, effective 2026-07-01.

Do managed-care plans pay the same rate for L0720?

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.