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Billing code L1280 · Equipment & supplies

L1280 Medicaid reimbursement rate by state (2026)

Addition to tlso, (low profile), rib gusset (elastic), each. Medicaid pays a median of $79.41 for L1280 across 50 states, from $46.37 in Missouri to $187.50 in Alaska.

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

States publishing
50
National median
$79.41units vary by state
Lowest
$46.37Missouri
Highest
$187.50Alaska
Answer

What does Medicaid pay for L1280?

50 state Medicaid programs publish a fee-for-service rate for L1280. The national median is $79.41 (units differ between states). Alaska pays the most, $187.50, and Missouri the least, $46.37, a 4.0x spread.

State ranking

L1280 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$187.50——Not classified—
2Hawaii Source · since 2026-06-01$163.79——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$132.18——Not classified—
25Michigan Source · since 2026-01-01$79.47——Plans negotiate; applies out of network—
26Illinois Source · since 2019-11-13$79.35——Plans negotiate; applies out of network—
27Kansas Source · since 2026-07-01$79.31——Plans must pay at least this—
49Florida Source · since 2026-07-01$49.96——Plans negotiate; applies out of network—
50Missouri Source · since 2019-07-01$46.37——Plans negotiate; applies out of network—
See all 50 states for L1280 — 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 L1280 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 L1280?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $79.41. Alaska pays the most ($187.50) and Missouri the least ($46.37).

Which state pays the highest Medicaid rate for L1280?

Alaska, at $187.50, effective 2026-01-01.

Do managed-care plans pay the same rate for L1280?

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.