L3999 Medicaid reimbursement rates by state
Upper limb orthosis, not otherwise specified. 8 state Medicaid programs publish a fee-for-service rate for L3999 at the physician psychologist level. Rates run from $0.00 in Arkansas to $1,343.72 in Nevada, with a median of $400.00.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 8
- Median rate
- $400.00units vary by state
- Highest
- $1,343.72Nevada
- Medicare (non-facility)
- —not on the physician fee schedule
L3999 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules) | $1,343.72since 2024-01-01 | — | — | Plans must pay at least this | — | Provider Type 20 Physician, MD., Osteopa |
| AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules) | $1,000.00since 2026-05-20 | — | — | Not classified | — | EPSDT Referral (DME) Fee Schedule (REF-0 |
| OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA) | $884.57since 2012-07-01 | — | — | Plans negotiate; applies out of network | — | OHP FFS medical-dental fee schedule (fee |
| GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service) | $500.00since 2017-10-01 | — | — | Plans negotiate; applies out of network | — | Orthotics and Prosthetics Fee Schedule.x |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $300.00since 2013-09-01 | — | — | Paid by the state, outside plans | — | MO HealthNet fee schedule: First Steps |
| HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service | $73.84since 2024-03-04 | — | — | Plans negotiate; applies out of network | — | Medicaid Fee-For-Service (FFS) Fee Sched |
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $37.40since 2024-07-01 | — | — | Not classified | — | SCDHHS Occupational Therapy Fee Schedule |
| ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service) | $0.00since 2025-06-04 | — | — | Not classified | — | Arkansas Medicaid Prosthetics (includes |
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 L3999?
It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $400.00. Nevada pays the most ($1,343.72) and Arkansas the least ($0.00).
Which state pays the highest Medicaid rate for L3999?
Nevada, at $1,343.72, effective 2024-01-01.
Do managed-care plans pay the same rate for L3999?
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.