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L1310 Medicaid reimbursement rate by state (2026)

Other scoliosis procedure, post-operative body jacket. Medicaid pays a median of $1,702.61 for L1310 across 48 states, from $100.00 in Connecticut to $2,953.57 in Alaska.

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

States publishing
48
National median
$1,702.61units vary by state
Lowest
$100.00Connecticut
Highest
$2,953.57Alaska

What does Medicaid pay for L1310?

48 state Medicaid programs publish a fee-for-service rate for L1310 at the nurse midwife level. The national median is $1,702.61 (units differ between states). Alaska pays the most, $2,953.57, and Connecticut the least, $100.00, a 29.5x spread.

L1310 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$2,953.57——Not classified—
2Hawaii Source · since 2026-06-01$2,580.26——Plans negotiate; applies out of network—
3Montana Source · since 2026-01-01$2,526.04——Not classified—
24West Virginia Source · since 2026-04-01$1,739.86——Plans must pay at least this—
25Oregon Source · since 2024-10-01$1,665.35——Plans negotiate; applies out of network—
26Washington Source · since 2021-07-01$1,634.15——Plans negotiate; applies out of network—
47Pennsylvania Source · since 1988-10-01$720.00——Plans negotiate; applies out of network—
48Connecticut Source · since 2017-03-01$100.00——Not classified—
See all 48 states for L1310 — 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.

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 L1310 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 L1310?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $1,702.61. Alaska pays the most ($2,953.57) and Connecticut the least ($100.00).

Which state pays the highest Medicaid rate for L1310?

Alaska, at $2,953.57, effective 2026-01-01.

Do managed-care plans pay the same rate for L1310?

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.