L0643 Medicaid reimbursement rate by state (2026)
Lumbar-sacral orthosis, sagittal control. Medicaid pays a median of $122.98 for L0643 across 46 states, from $44.12 in Utah to $222.17 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 46
- National median
- $122.98units vary by state
- Lowest
- $44.12Utah
- Highest
- $222.17Alaska
What does Medicaid pay for L0643?
46 state Medicaid programs publish a fee-for-service rate for L0643 at the physician psychologist level. The national median is $122.98 (units differ between states). Alaska pays the most, $222.17, and Utah the least, $44.12, a 5.0x spread.
L0643 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L0643?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $122.98. Alaska pays the most ($222.17) and Utah the least ($44.12).
Which state pays the highest Medicaid rate for L0643?
Alaska, at $222.17, effective 2026-01-01.
Do managed-care plans pay the same rate for L0643?
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.