L4090 Medicaid reimbursement rate by state (2026)
Replace metal bands kafo-afo, calf or distal thigh. Medicaid pays a median of $87.41 for L4090 across 50 states, from $30.16 in Iowa to $147.02 in Alaska.
- States publishing
- 50
- National median
- $87.41units vary by state
- Lowest
- $30.16Iowa
- Highest
- $147.02Alaska
What does Medicaid pay for L4090?
50 state Medicaid programs publish a fee-for-service rate for L4090. The national median is $87.41 (units differ between states). Alaska pays the most, $147.02, and Iowa the least, $30.16, a 4.9x spread.
L4090 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L4090?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $87.41. Alaska pays the most ($147.02) and Iowa the least ($30.16).
Which state pays the highest Medicaid rate for L4090?
Alaska, at $147.02, effective 2026-01-01.
Do managed-care plans pay the same rate for L4090?
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.