L1812 Medicaid reimbursement rate by state (2026)
Knee orthosis, elastic with joints, prefabricated. Medicaid pays a median of $77.63 for L1812 across 46 states, from $34.42 in Illinois to $144.28 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 46
- National median
- $77.63units vary by state
- Lowest
- $34.42Illinois
- Highest
- $144.28North Dakota
What does Medicaid pay for L1812?
46 state Medicaid programs publish a fee-for-service rate for L1812 at the physician psychologist level. The national median is $77.63 (units differ between states). North Dakota pays the most, $144.28, and Illinois the least, $34.42, a 4.2x spread.
L1812 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L1812?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $77.63. North Dakota pays the most ($144.28) and Illinois the least ($34.42).
Which state pays the highest Medicaid rate for L1812?
North Dakota, at $144.28, effective 2026-07-01.
Do managed-care plans pay the same rate for L1812?
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.