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Billing code L0978 · Equipment & supplies

L0978 Medicaid reimbursement rate by state (2026)

Axillary crutch extension. Medicaid pays a median of $178.71 for L0978 across 47 states, from $68.68 in New York to $777.50 in Alaska.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$178.71units vary by state
Lowest
$68.68New York
Highest
$777.50Alaska
Answer

What does Medicaid pay for L0978?

47 state Medicaid programs publish a fee-for-service rate for L0978. The national median is $178.71 (units differ between states). Alaska pays the most, $777.50, and New York the least, $68.68, a 11.3x spread.

State ranking

L0978 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$777.50——Not classified—
2Hawaii Source · since 2026-06-01$679.20——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$259.37——Not classified—
23Missouri Source · since 2019-07-01$180.29——Plans negotiate; applies out of network—
24South Carolina Source · since 2024-07-01$178.71——Not classified—
25Washington Source · since 2021-07-01$177.21——Plans negotiate; applies out of network—
46Colorado Source · since 2026-07-01$71.49——Plans negotiate; applies out of network—
47New York Source · since 2022-06-01$68.68——Plans negotiate; applies out of network—
See all 47 states for L0978 — start free

39 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 L0978 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 L0978?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $178.71. Alaska pays the most ($777.50) and New York the least ($68.68).

Which state pays the highest Medicaid rate for L0978?

Alaska, at $777.50, effective 2026-01-01.

Do managed-care plans pay the same rate for L0978?

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.