L0627 Medicaid reimbursement rate by state (2026)
Lumbar orthosis, sagittal control. Medicaid pays a median of $377.48 for L0627 across 50 states, from $113.88 in Wisconsin to $511.72 in Montana.
- States publishing
- 50
- National median
- $377.48units vary by state
- Lowest
- $113.88Wisconsin
- Highest
- $511.72Montana
What does Medicaid pay for L0627?
50 state Medicaid programs publish a fee-for-service rate for L0627. The national median is $377.48 (units differ between states). Montana pays the most, $511.72, and Wisconsin the least, $113.88, a 4.5x spread.
L0627 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 L0627?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $377.48. Montana pays the most ($511.72) and Wisconsin the least ($113.88).
Which state pays the highest Medicaid rate for L0627?
Montana, at $511.72, effective 2026-01-01.
Do managed-care plans pay the same rate for L0627?
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.