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L2132 Medicaid reimbursement rates by state

Kafo, fracture orthosis, femoral fracture cast orthosis. 42 state Medicaid programs publish a fee-for-service rate for L2132 at the nurse midwife level. Rates run from $463.60 in Missouri to $1,198.60 in Montana, with a median of $742.17.

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

States publishing
42
Median rate
$742.17units vary by state
Highest
$1,198.60Montana
Medicare (non-facility)
—not on the physician fee schedule

L2132 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1,198.60since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,196.02since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,172.57since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$1,159.73since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,043.76since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$1,041.51since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,025.23since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$985.77since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$970.68since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$927.78since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$925.10since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$883.78since 2019-11-13——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-11-
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$865.18since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$857.78since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$836.42since 2024-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$813.66since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$800.91since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$800.39since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$795.92since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$757.50since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$742.76since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$741.58since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$741.58since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$741.06since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$732.01since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$710.01since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$704.98since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$696.69since 2021-07-01——Plans negotiate; applies out of network—HCA Prosthetics and orthotics fee schedu
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$685.03since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$626.00since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$625.53since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$621.78since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$601.75——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$601.67since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$579.19since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$567.69since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$554.14since 1992-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$523.53since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$506.67since 2016-07-01——Plans negotiate; applies out of network—Orthotic and Prosthetic Fee Schedule - E
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$500.63since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$485.78since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$463.60since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L2132?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $742.17. Montana pays the most ($1,198.60) and Missouri the least ($463.60).

Which state pays the highest Medicaid rate for L2132?

Montana, at $1,198.60, effective 2026-01-01.

Do managed-care plans pay the same rate for L2132?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

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