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Billing code L0972 · Equipment & supplies

L0972 Medicaid reimbursement rate by state (2026)

Lso, corset front. Medicaid pays a median of $91.49 for L0972 across 48 states, from $25.76 in Missouri to $222.40 in Alaska.

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

States publishing
48
National median
$91.49units vary by state
Lowest
$25.76Missouri
Highest
$222.40Alaska
Answer

What does Medicaid pay for L0972?

48 state Medicaid programs publish a fee-for-service rate for L0972. The national median is $91.49 (units differ between states). Alaska pays the most, $222.40, and Missouri the least, $25.76, a 8.6x spread.

State ranking

L0972 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$222.40——Not classified—
2Hawaii Source · since 2026-06-01$194.27——Plans negotiate; applies out of network—
3New Mexico Source · since 2025-01-01$149.77——Plans must pay at least this—
24New Jersey Source · since 2026-07-01$91.72——Not classified—
25Texas Source · since 1992-04-01$91.26——Plans negotiate; applies out of network—
26Utah Source · since 2026-07-01$91.03——Plans negotiate; applies out of network—
47New York Source · since 2022-06-01$40.40——Plans negotiate; applies out of network—
48Missouri Source · since 2019-07-01$25.76——Plans negotiate; applies out of network—
See all 48 states for L0972 — 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 L0972 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 L0972?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $91.49. Alaska pays the most ($222.40) and Missouri the least ($25.76).

Which state pays the highest Medicaid rate for L0972?

Alaska, at $222.40, effective 2026-01-01.

Do managed-care plans pay the same rate for L0972?

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.