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L3207 Medicaid reimbursement rates by state

Orthopedic shoe, hightop with supinator or pronator, junior. 34 state Medicaid programs publish a fee-for-service rate for L3207 at the nurse midwife level. Rates run from $3.00 in Hawaii to $127.30 in Colorado, with a median of $46.66.

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

States publishing
34
Median rate
$46.66units vary by state
Highest
$127.30Colorado
Medicare (non-facility)
—not on the physician fee schedule

L3207 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
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$127.30since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$125.00since 2006-04-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$81.54since 2023-03-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$80.73since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$76.66since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$76.65since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$75.83since 2025-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2025-01-
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$75.71since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$70.56since 2013-11-12——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$62.00since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$58.84since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$56.20since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$53.12since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$52.74since 2016-10-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$52.67since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$48.00since 2025-01-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$47.39since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #05 PODIATRIS
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$45.93since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$44.14since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$42.93since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$42.68since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$42.20since 2011-08-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$40.17——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$37.80since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$37.67since 2010-07-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$37.09since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$35.35since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$33.92since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$32.30since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$32.00since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$29.00since 2019-10-01——Plans negotiate; applies out of network—Orthotic & Prosthetic Fee Schedule.xlsx
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$27.92since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$27.00since 1998-10-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$3.00since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched

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 L3207?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $46.66. Colorado pays the most ($127.30) and Hawaii the least ($3.00).

Which state pays the highest Medicaid rate for L3207?

Colorado, at $127.30, effective 2026-07-01.

Do managed-care plans pay the same rate for L3207?

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

L0120Cervical, flexible, non-adjustable, prefabricated · 48 statesL0130Cervical, flexible, thermoplastic collar, molded to patient · 48 statesL0140Cervical, semi-rigid, adjustable (plastic collar) · 48 statesL0150Cervical, semi-rigid, adjustable molded chin cup · 48 statesL0172Cervical, collar, semi-rigid thermoplastic foam, two-piece · 48 statesL0174Cervical, collar, semi-rigid, thermoplastic foam · 48 statesL0200Cervical, multiple post collar · 48 statesL0220Thoracic, rib belt, custom fabricated · 48 statesL0450Tlso, flexible, provides trunk support · 48 statesL0472Tlso, triplanar control, hyperextension · 48 statesL0482Tlso, triplanar control · 48 statesL0484Tlso, triplanar control · 48 states
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