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Billing code L4010 · Equipment & supplies

L4010 Medicaid reimbursement rate by state (2026)

Replace trilateral socket brim. Medicaid pays a median of $650.98 for L4010 across 48 states, from $187.35 in Florida to $1,447.74 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$650.98units vary by state
Lowest
$187.35Florida
Highest
$1,447.74Alaska
Answer

What does Medicaid pay for L4010?

48 state Medicaid programs publish a fee-for-service rate for L4010. The national median is $650.98 (units differ between states). Alaska pays the most, $1,447.74, and Florida the least, $187.35, a 7.7x spread.

State ranking

L4010 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,447.74——Not classified—
2Hawaii Source · since 2026-06-01$1,264.77——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$987.07——Plans negotiate; applies out of network—
24Maryland Source · since 2026-01-01$655.51——Not classified—
25Vermont Source · since 2026-01-01$646.44——Not classified—
26New Jersey Source · since 2026-07-01$636.58——Not classified—
47Alabama Source · since 2026-05-20$203.00——Not classified—
48Florida Source · since 2026-07-01$187.35——Plans negotiate; applies out of network—
See all 48 states for L4010 — start free

40 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.

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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 L4010 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L4010?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $650.98. Alaska pays the most ($1,447.74) and Florida the least ($187.35).

Which state pays the highest Medicaid rate for L4010?

Alaska, at $1,447.74, effective 2026-01-01.

Do managed-care plans pay the same rate for L4010?

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.