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L3590 Medicaid reimbursement rate by state (2026)

Orthopedic shoe addition. Medicaid pays a median of $50.24 for L3590 across 43 states, from $7.14 in Iowa to $76.88 in Alaska.

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

States publishing
43
National median
$50.24units vary by state
Lowest
$7.14Iowa
Highest
$76.88Alaska

What does Medicaid pay for L3590?

43 state Medicaid programs publish a fee-for-service rate for L3590 at the nurse midwife level. The national median is $50.24 (units differ between states). Alaska pays the most, $76.88, and Iowa the least, $7.14, a 10.8x spread.

L3590 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$76.88——Not classified—
2Montana Source · since 2026-01-01$66.36——Not classified—
3Louisiana Source · since 2012-07-01$65.77——Plans must pay at least this—
21Colorado Source · since 2026-07-01$51.24——Plans negotiate; applies out of network—
22Ohio Source · since 2026-01-01$50.24——Plans negotiate; applies out of network—
23Nevada Source · since 2017-01-01$49.70——Plans negotiate; applies out of network—
42California Source · since 2026-10-01$20.64——Plans negotiate; applies out of network—
43Iowa Source · since 2013-07-01$7.14——Plans must pay at least this—
See all 43 states for L3590 — start free

35 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 L3590 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 L3590?

It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $50.24. Alaska pays the most ($76.88) and Iowa the least ($7.14).

Which state pays the highest Medicaid rate for L3590?

Alaska, at $76.88, effective 2026-01-01.

Do managed-care plans pay the same rate for L3590?

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.