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Billing code L0113 · Equipment & supplies

L0113 Medicaid reimbursement rate by state (2026)

Cranial cervical orthosis, torticollis type. Medicaid pays a median of $285.64 for L0113 across 36 states, from $60.28 in Wisconsin to $410.48 in Alaska.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$285.64units vary by state
Lowest
$60.28Wisconsin
Highest
$410.48Alaska
Answer

What does Medicaid pay for L0113?

36 state Medicaid programs publish a fee-for-service rate for L0113. The national median is $285.64 (units differ between states). Alaska pays the most, $410.48, and Wisconsin the least, $60.28, a 6.8x spread.

State ranking

L0113 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$410.48——Not classified—
2Montana Source · since 2026-01-01$354.33——Not classified—
3Minnesota Source · since 2026-01-01$350.47——Plans negotiate; applies out of network—
18Arizona Source · since 2026-10-01$286.59——Plans negotiate; applies out of network—
19South Carolina Source · since 2024-07-01$284.69——Not classified—
20Ohio Source · since 2026-01-01$278.71——Plans negotiate; applies out of network—
35Connecticut Source · since 2017-03-01$100.00——Not classified—
36Wisconsin Source · since 2009-01-01$60.28——Plans negotiate; applies out of network—
See all 36 states for L0113 — start free

28 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 L0113 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 L0113?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $285.64. Alaska pays the most ($410.48) and Wisconsin the least ($60.28).

Which state pays the highest Medicaid rate for L0113?

Alaska, at $410.48, effective 2026-01-01.

Do managed-care plans pay the same rate for L0113?

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.