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L4396 Medicaid reimbursement rate by state (2026)

Static or dynamic ankle foot orthosis. Medicaid pays a median of $159.28 for L4396 across 50 states, from $99.32 in California to $226.81 in North Dakota.

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

States publishing
50
National median
$159.28units vary by state
Lowest
$99.32California
Highest
$226.81North Dakota

What does Medicaid pay for L4396?

50 state Medicaid programs publish a fee-for-service rate for L4396 at the physician psychologist level. The national median is $159.28 (units differ between states). North Dakota pays the most, $226.81, and California the least, $99.32, a 2.3x spread.

L4396 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$226.81——Not classified—
2Maine Source · since 2026-01-01$210.28——Not classified—
3Minnesota Source · since 2026-01-01$206.23——Plans negotiate; applies out of network—
25Arkansas Source · since 2025-06-04$160.24——Not classified—
26Kansas Source · since 2026-07-01$158.32——Plans must pay at least this—
27New York Source · since 2022-06-01$153.22——Plans negotiate; applies out of network—
49Florida Source · since 2026-07-01$106.87——Plans negotiate; applies out of network—
50California Source · since 2026-10-01$99.32——Plans negotiate; applies out of network—
See all 50 states for L4396 — start free

42 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 L4396 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 L4396?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $159.28. North Dakota pays the most ($226.81) and California the least ($99.32).

Which state pays the highest Medicaid rate for L4396?

North Dakota, at $226.81, effective 2026-07-01.

Do managed-care plans pay the same rate for L4396?

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.