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L2540 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, thigh/weight bearing, lacer. Medicaid pays a median of $399.29 for L2540 across 49 states, from $163.74 in Iowa to $1,012.16 in Alaska.

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

States publishing
49
National median
$399.29units vary by state
Lowest
$163.74Iowa
Highest
$1,012.16Alaska

What does Medicaid pay for L2540?

49 state Medicaid programs publish a fee-for-service rate for L2540 at the nurse midwife level. The national median is $399.29 (units differ between states). Alaska pays the most, $1,012.16, and Iowa the least, $163.74, a 6.2x spread.

L2540 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,012.16——Not classified—
2Hawaii Source · since 2026-06-01$884.21——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$647.77——Not classified—
24Michigan Source · since 2026-01-01$412.70——Plans negotiate; applies out of network—
25Arkansas Source · since 2025-06-04$399.29——Not classified—
26Utah Source · since 2026-07-01$394.62——Plans negotiate; applies out of network—
48Florida Source · since 2026-07-01$173.82——Plans negotiate; applies out of network—
49Iowa Source · since 2024-07-01$163.74——State sets the plan rate—
See all 49 states for L2540 — start free

41 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.

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 L2540 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L2540?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $399.29. Alaska pays the most ($1,012.16) and Iowa the least ($163.74).

Which state pays the highest Medicaid rate for L2540?

Alaska, at $1,012.16, effective 2026-01-01.

Do managed-care plans pay the same rate for L2540?

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.