L3204 Medicaid reimbursement rate by state (2026)
Orthopedic shoe, hightop with supinator or pronator, infant. Medicaid pays a median of $41.77 for L3204 across 36 states, from $2.00 in Hawaii to $125.00 in Kansas.
- States publishing
- 36
- National median
- $41.77units vary by state
- Lowest
- $2.00Hawaii
- Highest
- $125.00Kansas
What does Medicaid pay for L3204?
36 state Medicaid programs publish a fee-for-service rate for L3204. The national median is $41.77 (units differ between states). Kansas pays the most, $125.00, and Hawaii the least, $2.00, a 62.5x spread.
L3204 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L3204?
It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $41.77. Kansas pays the most ($125.00) and Hawaii the least ($2.00).
Which state pays the highest Medicaid rate for L3204?
Kansas, at $125.00, effective 2006-04-01.
Do managed-care plans pay the same rate for L3204?
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.