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Billing code L1952 · Equipment & supplies

L1952 Medicaid reimbursement rate by state (2026)

Ankle foot orthosis, spiral,. Medicaid pays a median of $863.31 for L1952 across 30 states, from $98.76 in Nevada to $1,186.84 in North Dakota.

Data as of Oct 5, 202630 statesEvery rate links to its official source

States publishing
30
National median
$863.31units vary by state
Lowest
$98.76Nevada
Highest
$1,186.84North Dakota
Answer

What does Medicaid pay for L1952?

30 state Medicaid programs publish a fee-for-service rate for L1952. The national median is $863.31 (units differ between states). North Dakota pays the most, $1,186.84, and Nevada the least, $98.76, a 12.0x spread.

State ranking

L1952 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$1,186.84——Not classified—
2Montana Source · since 2026-01-01$1,043.45——Not classified—
3Indiana Source · since 2026-01-01$1,038.16unit—Plans must pay at least this—
15Idaho Source · since 2026-07-01$870.36——Not classified—
16Maryland Source · since 2026-01-01$856.26——Not classified—
17Vermont Source · since 2026-01-01$844.42——Not classified—
29Ohio Source · since 2025-04-01$650.00Each—Plans negotiate; applies out of network—
30Nevada Source · since 2025-04-01$98.76——Plans must pay at least this—
See all 30 states for L1952 — start free

22 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 L1952 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 L1952?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $863.31. North Dakota pays the most ($1,186.84) and Nevada the least ($98.76).

Which state pays the highest Medicaid rate for L1952?

North Dakota, at $1,186.84, effective 2026-07-01.

Do managed-care plans pay the same rate for L1952?

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.