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L4392 Medicaid reimbursement rate by state (2026)

Replacement, soft interface material, static afo. Medicaid pays a median of $22.38 for L4392 across 44 states, from $11.52 in Alabama to $33.30 in Alaska.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
44
National median
$22.38units vary by state
Lowest
$11.52Alabama
Highest
$33.30Alaska

What does Medicaid pay for L4392?

44 state Medicaid programs publish a fee-for-service rate for L4392 at the physician psychologist level. The national median is $22.38 (units differ between states). Alaska pays the most, $33.30, and Alabama the least, $11.52, a 2.9x spread.

L4392 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$33.30——Not classified—
2North Dakota Source · since 2026-07-01$31.63——Not classified—
3Maine Source · since 2026-01-01$29.48——Not classified—
22Massachusetts Source · since 2026-07-01$22.55——Plans negotiate; applies out of network—
23Kansas Source · since 2026-07-01$22.20——Plans must pay at least this—
24Colorado Source · since 2026-07-01$22.12——Plans negotiate; applies out of network—
43Florida Source · since 2026-07-01$14.97——Plans negotiate; applies out of network—
44Alabama Source · since 2026-05-20$11.52——Not classified—
See all 44 states for L4392 — start free

36 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.

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 L4392 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L4392?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $22.38. Alaska pays the most ($33.30) and Alabama the least ($11.52).

Which state pays the highest Medicaid rate for L4392?

Alaska, at $33.30, effective 2026-01-01.

Do managed-care plans pay the same rate for L4392?

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.