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Billing code L1090 · Equipment & supplies

L1090 Medicaid reimbursement rate by state (2026)

Addition to ctlso or scoliosis orthosis, lumbar sling. Medicaid pays a median of $85.48 for L1090 across 50 states, from $19.82 in Iowa to $188.32 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$85.48units vary by state
Lowest
$19.82Iowa
Highest
$188.32Alaska
Answer

What does Medicaid pay for L1090?

50 state Medicaid programs publish a fee-for-service rate for L1090. The national median is $85.48 (units differ between states). Alaska pays the most, $188.32, and Iowa the least, $19.82, a 9.5x spread.

State ranking

L1090 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$188.32——Not classified—
2Hawaii Source · since 2026-06-01$164.50——Plans negotiate; applies out of network—
3Delaware Source · since 2026-01-01$135.96——Plans negotiate; applies out of network—
25Washington Source · since 2021-07-01$85.85——Plans negotiate; applies out of network—
26South Carolina Source · since 2024-07-01$85.10——Not classified—
27Kansas Source · since 2026-07-01$85.10——Plans must pay at least this—
49Florida Source · since 2026-07-01$46.84——Plans negotiate; applies out of network—
50Iowa Source · since 2024-07-01$19.82——State sets the plan rate—
See all 50 states for L1090 — start free

42 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 L1090 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 L1090?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $85.48. Alaska pays the most ($188.32) and Iowa the least ($19.82).

Which state pays the highest Medicaid rate for L1090?

Alaska, at $188.32, effective 2026-01-01.

Do managed-care plans pay the same rate for L1090?

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.