L4000 Medicaid reimbursement rate by state (2026)
Replace girdle for spinal orthosis (ctlso or so). Medicaid pays a median of $1,199.99 for L4000 across 47 states, from $100.00 in Connecticut to $2,471.92 in Alaska.
- States publishing
- 47
- National median
- $1,199.99units vary by state
- Lowest
- $100.00Connecticut
- Highest
- $2,471.92Alaska
What does Medicaid pay for L4000?
47 state Medicaid programs publish a fee-for-service rate for L4000. The national median is $1,199.99 (units differ between states). Alaska pays the most, $2,471.92, and Connecticut the least, $100.00, a 24.7x spread.
L4000 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L4000?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $1,199.99. Alaska pays the most ($2,471.92) and Connecticut the least ($100.00).
Which state pays the highest Medicaid rate for L4000?
Alaska, at $2,471.92, effective 2026-01-01.
Do managed-care plans pay the same rate for L4000?
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.