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L3212 Medicaid reimbursement rate by state (2026)

Benesch boot, pair, infant. Medicaid pays a median of $54.57 for L3212 across 31 states, from $6.13 in Hawaii to $105.70 in South Dakota.

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

States publishing
31
National median
$54.57units vary by state
Lowest
$6.13Hawaii
Highest
$105.70South Dakota

What does Medicaid pay for L3212?

31 state Medicaid programs publish a fee-for-service rate for L3212 at the nurse midwife level. The national median is $54.57 (units differ between states). South Dakota pays the most, $105.70, and Hawaii the least, $6.13, a 17.2x spread.

L3212 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1South Dakota Source · since 2026-07-01$105.70——Not classified—
2Minnesota Source · since 1986-04-01$100.00——Plans negotiate; applies out of network—
3Wisconsin Source · since 2008-07-01$96.83——Plans negotiate; applies out of network—
15North Carolina Source$56.15——Plans negotiate; applies out of network—
16Virginia Source · since 2010-07-01$54.57Each—Plans negotiate; applies out of network—
17Oregon Source · since 2024-10-01$52.95——Plans negotiate; applies out of network—
30New York Source · since 2022-06-01$22.22——Plans negotiate; applies out of network—
31Hawaii Source · since 2024-03-04$6.13——Plans negotiate; applies out of network—
See all 31 states for L3212 — start free

23 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 L3212 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 L3212?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $54.57. South Dakota pays the most ($105.70) and Hawaii the least ($6.13).

Which state pays the highest Medicaid rate for L3212?

South Dakota, at $105.70, effective 2026-07-01.

Do managed-care plans pay the same rate for L3212?

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.