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L3225 Medicaid reimbursement rate by state (2026)

Orthopedic footwear, man's shoe, oxford. Medicaid pays a median of $67.03 for L3225 across 45 states, from $40.74 in Alabama to $157.97 in Alaska.

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

States publishing
45
National median
$67.03units vary by state
Lowest
$40.74Alabama
Highest
$157.97Alaska

What does Medicaid pay for L3225?

45 state Medicaid programs publish a fee-for-service rate for L3225 at the nurse midwife level. The national median is $67.03 (units differ between states). Alaska pays the most, $157.97, and Alabama the least, $40.74, a 3.9x spread.

L3225 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$157.97——Not classified—
2Hawaii Source · since 2026-06-01$138.06——Plans negotiate; applies out of network—
3New Mexico Source · since 2025-01-01$113.78——Plans must pay at least this—
22Utah Source · since 2025-07-01$67.11——Plans negotiate; applies out of network—
23Illinois Source · since 2019-11-13$67.03——Plans negotiate; applies out of network—
24Rhode Island Source · since 2012-07-01$66.79——Plans negotiate; applies out of network—
44Missouri Source · since 2019-07-01$41.21——Plans negotiate; applies out of network—
45Alabama Source · since 2026-05-20$40.74——Not classified—
See all 45 states for L3225 — start free

37 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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

Track L3225 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L3225?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $67.03. Alaska pays the most ($157.97) and Alabama the least ($40.74).

Which state pays the highest Medicaid rate for L3225?

Alaska, at $157.97, effective 2026-01-01.

Do managed-care plans pay the same rate for L3225?

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.