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Billing code L4055 · Equipment & supplies

L4055 Medicaid reimbursement rate by state (2026)

Replace non-molded calf lacer. Medicaid pays a median of $242.89 for L4055 across 49 states, from $74.00 in Alabama to $770.15 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$242.89units vary by state
Lowest
$74.00Alabama
Highest
$770.15Alaska
Answer

What does Medicaid pay for L4055?

49 state Medicaid programs publish a fee-for-service rate for L4055. The national median is $242.89 (units differ between states). Alaska pays the most, $770.15, and Alabama the least, $74.00, a 10.4x spread.

State ranking

L4055 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$770.15——Not classified—
2Hawaii Source · since 2026-06-01$672.76——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$409.60——Not classified—
24West Virginia Source · since 2026-04-01$245.76——Plans must pay at least this—
25Illinois Source · since 2025-01-01$242.89——Plans negotiate; applies out of network—
26Oregon Source · since 2024-10-01$238.70——Plans negotiate; applies out of network—
48Pennsylvania Source · since 1989-01-01$76.28——Plans negotiate; applies out of network—
49Alabama Source · since 2026-05-20$74.00——Not classified—
See all 49 states for L4055 — start free

41 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 L4055 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 L4055?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $242.89. Alaska pays the most ($770.15) and Alabama the least ($74.00).

Which state pays the highest Medicaid rate for L4055?

Alaska, at $770.15, effective 2026-01-01.

Do managed-care plans pay the same rate for L4055?

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.