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L3160 Medicaid reimbursement rates by state

Foot, adjustable shoe-styled positioning device. 12 state Medicaid programs publish a fee-for-service rate for L3160 at the physician psychologist level. Rates run from $0.99 in Arizona to $159.84 in Kentucky, with a median of $55.73.

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

States publishing
12
Median rate
$55.73units vary by state
Highest
$159.84Kentucky
Medicare (non-facility)
—not on the physician fee schedule

L3160 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
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$159.84since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$131.30since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$96.11since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$76.91since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$76.91since 2023-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$61.80since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$49.66since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$37.99since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$24.73since 2014-01-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$23.54since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$14.40since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.99since 2021-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped 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 L3160?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $55.73. Kentucky pays the most ($159.84) and Arizona the least ($0.99).

Which state pays the highest Medicaid rate for L3160?

Kentucky, at $159.84, effective 2020-01-01.

Do managed-care plans pay the same rate for L3160?

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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