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L3918 Medicaid reimbursement rate by state (2026)

Hand orthosis, metacarpal fracture orthosis, prefabricated. Medicaid pays a median of $88.33 for L3918 across 44 states, from $52.79 in Wisconsin to $124.77 in North Dakota.

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

States publishing
44
National median
$88.33units vary by state
Lowest
$52.79Wisconsin
Highest
$124.77North Dakota

What does Medicaid pay for L3918?

44 state Medicaid programs publish a fee-for-service rate for L3918 at the physician psychologist level. The national median is $88.33 (units differ between states). North Dakota pays the most, $124.77, and Wisconsin the least, $52.79, a 2.4x spread.

L3918 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$124.77——Not classified—
2Montana Source · since 2026-01-01$119.41——Not classified—
3Minnesota Source · since 2026-01-01$118.11——Plans negotiate; applies out of network—
22Oregon Source · since 2024-10-01$88.37——Plans negotiate; applies out of network—
23Massachusetts Source · since 2026-07-01$88.28——Plans negotiate; applies out of network—
24Michigan Source · since 2026-01-01$87.40——Plans negotiate; applies out of network—
43Florida Source · since 2026-07-01$63.46——Plans negotiate; applies out of network—
44Wisconsin Source · since 2014-01-01$52.79——Plans negotiate; applies out of network—
See all 44 states for L3918 — start free

36 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 L3918 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 L3918?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $88.33. North Dakota pays the most ($124.77) and Wisconsin the least ($52.79).

Which state pays the highest Medicaid rate for L3918?

North Dakota, at $124.77, effective 2026-07-01.

Do managed-care plans pay the same rate for L3918?

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.