L3999 Medicaid reimbursement rate by state (2026)
Upper limb orthosis, not otherwise specified. Medicaid pays a median of $692.29 for L3999 across 8 states, from $37.40 in South Carolina to $5,000.00 in District of Columbia.
- States publishing
- 8
- National median
- $692.29units vary by state
- Lowest
- $37.40South Carolina
- Highest
- $5,000.00District of Columbia
What does Medicaid pay for L3999?
8 state Medicaid programs publish a fee-for-service rate for L3999. The national median is $692.29 (units differ between states). District of Columbia pays the most, $5,000.00, and South Carolina the least, $37.40, a 133.7x spread.
L3999 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 8 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L3999?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $692.29. District of Columbia pays the most ($5,000.00) and South Carolina the least ($37.40).
Which state pays the highest Medicaid rate for L3999?
District of Columbia, at $5,000.00, effective 1983-10-01.
Do managed-care plans pay the same rate for L3999?
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.