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L2387 Medicaid reimbursement rates by state

Addition to lower extremity, polycentric knee joint. 44 state Medicaid programs publish a fee-for-service rate for L2387 at the physician psychologist level. Rates run from $42.48 in Iowa to $327.26 in Alaska, with a median of $172.26.

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

States publishing
44
Median rate
$172.26units vary by state
Highest
$327.26Alaska
Medicare (non-facility)
—not on the physician fee schedule

L2387 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
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$327.26since 2026-01-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$285.96since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$253.57since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$234.60since 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)$230.00since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$222.41since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$221.76since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$218.48since 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)$212.54since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$212.45since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$206.54since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$201.63since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$199.58since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$190.18since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$188.50since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$186.44since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$183.03since 2026-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$178.74since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$177.41since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$175.39since 2021-07-01——Plans negotiate; applies out of network—HCA Prosthetics and orthotics fee schedu
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$173.60since 2026-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$173.36since 2019-11-13——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-11-
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$171.16since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$168.75since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$167.10since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$163.40since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$163.28since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$153.90since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$152.14since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$150.86since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$146.93since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$144.86since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$137.47since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$136.10since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$135.60——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$134.77since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$133.13since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$133.13since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$132.88since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$130.10since 2021-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$121.03since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$114.18since 2016-07-01——Plans negotiate; applies out of network—Orthotic and Prosthetic Fee Schedule - E
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$93.22since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$42.48since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN

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 L2387?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $172.26. Alaska pays the most ($327.26) and Iowa the least ($42.48).

Which state pays the highest Medicaid rate for L2387?

Alaska, at $327.26, effective 2026-01-01.

Do managed-care plans pay the same rate for L2387?

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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