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L3891 Medicaid reimbursement rate by state (2026)

Addition to upper extremity joint, wrist or elbow. Medicaid pays a median of $300.00 for L3891 across 7 states, from $129.86 in Oklahoma to $344.52 in Indiana.

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

States publishing
7
National median
$300.00units vary by state
Lowest
$129.86Oklahoma
Highest
$344.52Indiana

What does Medicaid pay for L3891?

7 state Medicaid programs publish a fee-for-service rate for L3891. The national median is $300.00 (units differ between states). Indiana pays the most, $344.52 per unit, and Oklahoma the least, $129.86, a 2.7x spread.

L3891 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-01-01$344.52unit—Plans must pay at least this—
2Texas Source · since 2023-03-01$308.29——Plans negotiate; applies out of network—
3Wisconsin Source · since 2010-01-01$300.04——Plans negotiate; applies out of network—
7Oklahoma Source · since 2020-08-01$129.86——Plans must pay at least this—
See all 7 states for L3891 — start free

3 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 L3891 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 L3891?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $300.00. Indiana pays the most ($344.52 per unit) and Oklahoma the least ($129.86).

Which state pays the highest Medicaid rate for L3891?

Indiana, at $344.52 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for L3891?

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.