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Billing code L0458 · Equipment & supplies

L0458 Medicaid reimbursement rate by state (2026)

Tlso, triplanar control, modular segmented spinal system. Medicaid pays a median of $851.33 for L0458 across 47 states, from $404.18 in New York to $1,283.70 in Alaska.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$851.33units vary by state
Lowest
$404.18New York
Highest
$1,283.70Alaska
Answer

What does Medicaid pay for L0458?

47 state Medicaid programs publish a fee-for-service rate for L0458. The national median is $851.33 (units differ between states). Alaska pays the most, $1,283.70, and New York the least, $404.18, a 3.2x spread.

State ranking

L0458 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,283.70——Not classified—
2North Dakota Source · since 2026-07-01$1,274.76——Not classified—
3Montana Source · since 2026-01-01$1,108.06——Not classified—
23Colorado Source · since 2026-07-01$855.23——Plans negotiate; applies out of network—
24Arkansas Source · since 2025-11-13$851.33——Not classified—
25Ohio Source · since 2026-01-01$839.01——Plans negotiate; applies out of network—
46California Source · since 2026-10-01$560.62——Plans negotiate; applies out of network—
47New York Source · since 2022-06-01$404.18——Plans negotiate; applies out of network—
See all 47 states for L0458 — start free

39 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 L0458 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 L0458?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $851.33. Alaska pays the most ($1,283.70) and New York the least ($404.18).

Which state pays the highest Medicaid rate for L0458?

Alaska, at $1,283.70, effective 2026-01-01.

Do managed-care plans pay the same rate for L0458?

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.