L3216 Medicaid reimbursement rate by state (2026)
Orthopedic footwear, ladies shoe, depth inlay, each. Medicaid pays a median of $85.09 for L3216 across 36 states, from $5.37 in Hawaii to $178.57 in North Dakota.
- States publishing
- 36
- National median
- $85.09units vary by state
- Lowest
- $5.37Hawaii
- Highest
- $178.57North Dakota
What does Medicaid pay for L3216?
36 state Medicaid programs publish a fee-for-service rate for L3216. The national median is $85.09 (units differ between states). North Dakota pays the most, $178.57, and Hawaii the least, $5.37, a 33.3x spread.
L3216 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 L3216?
It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $85.09. North Dakota pays the most ($178.57) and Hawaii the least ($5.37).
Which state pays the highest Medicaid rate for L3216?
North Dakota, at $178.57, effective 2026-07-01.
Do managed-care plans pay the same rate for L3216?
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.