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L1932 Medicaid reimbursement rates by state

Ankle foot orthosis, rigid anterior tibial section. 31 state Medicaid programs publish a fee-for-service rate for L1932 at the nurse midwife level. Rates run from $404.00 in Wisconsin to $1,096.64 in Minnesota, with a median of $810.35.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
31
Median rate
$810.35units vary by state
Highest
$1,096.64Minnesota
Medicare (non-facility)
—not on the physician fee schedule

L1932 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,096.64since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,075.14since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$963.35since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$937.01since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$909.83since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$896.79since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$890.81since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$873.06since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$851.85since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$844.53since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$832.61since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$819.84since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$819.04since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$812.30since 2010-07-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$811.51since 2026-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$810.35since 2022-04-20——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2022-04-
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$804.47since 2021-07-01——Plans negotiate; applies out of network—HCA Prosthetics and orthotics fee schedu
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$771.79since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$749.27since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$743.24since 2025-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$742.46since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$736.47since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$715.76——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$650.05since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$635.89since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$602.67since 2016-07-01——Plans negotiate; applies out of network—Orthotic and Prosthetic Fee Schedule - E
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$598.51since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$577.82since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$570.00since 2018-07-16Each—Plans negotiate; applies out of network—ODM DMEPOS payment schedule (appendix to
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$560.94since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$404.00since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L1932?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $810.35. Minnesota pays the most ($1,096.64) and Wisconsin the least ($404.00).

Which state pays the highest Medicaid rate for L1932?

Minnesota, at $1,096.64, effective 2026-01-01.

Do managed-care plans pay the same rate for L1932?

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 table shows the rule for each state, cited to the contract or statute.

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