Skip to content

L3956 Medicaid reimbursement rate by state (2026)

Addition of joint to upper extremity orthosis, any material. Medicaid pays a median of $148.26 for L3956 across 6 states, from $89.29 in Colorado to $757.90 in Nevada.

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

States publishing
6
National median
$148.26units vary by state
Lowest
$89.29Colorado
Highest
$757.90Nevada

What does Medicaid pay for L3956?

6 state Medicaid programs publish a fee-for-service rate for L3956 at the physician psychologist level. The national median is $148.26 (units differ between states). Nevada pays the most, $757.90, and Colorado the least, $89.29, a 8.5x spread.

L3956 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Nevada Source · since 2024-01-01$757.90——Plans must pay at least this—
2Ohio Source · since 2010-01-01$187.75Each—Plans negotiate; applies out of network—
3Oregon Source · since 2024-10-01$176.52——Plans negotiate; applies out of network—
6Colorado Source · since 2026-07-01$89.29——Not classified—
See all 6 states for L3956 — start free

2 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 L3956 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 L3956?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $148.26. Nevada pays the most ($757.90) and Colorado the least ($89.29).

Which state pays the highest Medicaid rate for L3956?

Nevada, at $757.90, effective 2024-01-01.

Do managed-care plans pay the same rate for L3956?

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.