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Billing code L1653 · Equipment & supplies

L1653 Medicaid reimbursement rate by state (2026)

Hip orthosis, bilateral thigh cuffs with adjustable abductor.... Medicaid pays a median of $352.38 for L1653 across 29 states, from $245.62 in New Hampshire to $499.35 in North Dakota.

Data as of Oct 5, 202629 statesEvery rate links to its official source

States publishing
29
National median
$352.38units vary by state
Lowest
$245.62New Hampshire
Highest
$499.35North Dakota
Answer

What does Medicaid pay for L1653?

29 state Medicaid programs publish a fee-for-service rate for L1653. The national median is $352.38 (units differ between states). North Dakota pays the most, $499.35, and New Hampshire the least, $245.62, a 2.0x spread.

State ranking

L1653 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$499.35——Not classified—
2Minnesota Source · since 2026-01-01$438.09——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$429.50unit—Plans must pay at least this—
14Vermont Source · since 2026-01-01$358.40——Not classified—
15Mississippi Source · since 2026-07-01$352.38——Plans must pay at least this—
16Kansas Source · since 2026-07-01$348.78——Plans must pay at least this—
28Massachusetts Source · since 2026-07-01$289.66——Plans negotiate; applies out of network—
29New Hampshire Source · since 2024-10-01$245.62——Not classified—
See all 29 states for L1653 — start free

21 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 L1653 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 L1653?

It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $352.38. North Dakota pays the most ($499.35) and New Hampshire the least ($245.62).

Which state pays the highest Medicaid rate for L1653?

North Dakota, at $499.35, effective 2026-07-01.

Do managed-care plans pay the same rate for L1653?

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.