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L3916 Medicaid reimbursement rate by state (2026)

Wrist hand orthosis, includes one or more nontorsion.... Medicaid pays a median of $447.30 for L3916 across 42 states, from $57.81 in Wisconsin to $723.86 in North Dakota.

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

States publishing
42
National median
$447.30units vary by state
Lowest
$57.81Wisconsin
Highest
$723.86North Dakota

What does Medicaid pay for L3916?

42 state Medicaid programs publish a fee-for-service rate for L3916 at the physician psychologist level. The national median is $447.30 (units differ between states). North Dakota pays the most, $723.86, and Wisconsin the least, $57.81, a 12.5x spread.

L3916 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$723.86——Not classified—
2Montana Source · since 2026-01-01$601.08——Not classified—
3Minnesota Source · since 2026-01-01$594.54——Plans negotiate; applies out of network—
21Nevada Source · since 2019-11-01$450.13——Plans negotiate; applies out of network—
22Oregon Source · since 2024-10-01$444.46——Plans negotiate; applies out of network—
23Massachusetts Source · since 2026-07-01$444.02——Plans negotiate; applies out of network—
41Ohio Source · since 2021-10-01$100.00Each—Plans negotiate; applies out of network—
42Wisconsin Source · since 2014-01-01$57.81——Plans negotiate; applies out of network—
See all 42 states for L3916 — start free

34 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 L3916 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 L3916?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $447.30. North Dakota pays the most ($723.86) and Wisconsin the least ($57.81).

Which state pays the highest Medicaid rate for L3916?

North Dakota, at $723.86, effective 2026-07-01.

Do managed-care plans pay the same rate for L3916?

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.