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L3520 Medicaid reimbursement rate by state (2026)

Orthopedic shoe addition, insole, felt covered with leather. Medicaid pays a median of $30.42 for L3520 across 42 states, from $8.40 in California to $65.77 in Louisiana.

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

States publishing
42
National median
$30.42units vary by state
Lowest
$8.40California
Highest
$65.77Louisiana

What does Medicaid pay for L3520?

42 state Medicaid programs publish a fee-for-service rate for L3520 at the nurse midwife level. The national median is $30.42 (units differ between states). Louisiana pays the most, $65.77, and California the least, $8.40, a 7.8x spread.

L3520 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Louisiana Source · since 2012-07-01$65.77——Plans must pay at least this—
2Alaska Source · since 2026-01-01$45.73——Not classified—
3Montana Source · since 2026-01-01$39.50——Not classified—
21West Virginia Source · since 2026-04-01$30.49——Plans must pay at least this—
22Arkansas Source · since 2025-06-04$30.35——Not classified—
23Nevada Source · since 2017-01-01$29.55——Plans negotiate; applies out of network—
41Alabama Source · since 2026-05-20$12.00——Not classified—
42California Source · since 2026-10-01$8.40——Plans negotiate; applies out of network—
See all 42 states for L3520 — start free

34 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 L3520 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 L3520?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $30.42. Louisiana pays the most ($65.77) and California the least ($8.40).

Which state pays the highest Medicaid rate for L3520?

Louisiana, at $65.77, effective 2012-07-01.

Do managed-care plans pay the same rate for L3520?

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.