L1499 Medicaid reimbursement rate by state (2026)
Spinal orthosis, not otherwise specified. Medicaid pays a median of $857.14 for L1499 across 5 states, from $39.00 in Hawaii to $1,906.45 in Nevada.
- States publishing
- 5
- National median
- $857.14units vary by state
- Lowest
- $39.00Hawaii
- Highest
- $1,906.45Nevada
What does Medicaid pay for L1499?
5 state Medicaid programs publish a fee-for-service rate for L1499. The national median is $857.14 (units differ between states). Nevada pays the most, $1,906.45, and Hawaii the least, $39.00, a 48.9x spread.
L1499 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L1499?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $857.14. Nevada pays the most ($1,906.45) and Hawaii the least ($39.00).
Which state pays the highest Medicaid rate for L1499?
Nevada, at $1,906.45, effective 2024-04-01.
Do managed-care plans pay the same rate for L1499?
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.