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L4360 Medicaid reimbursement rates by state

Walking boot, pneumatic and/or vacuum. 40 state Medicaid programs publish a fee-for-service rate for L4360 at the physician psychologist level. Rates run from $130.86 in Missouri to $424.24 in Maine, with a median of $253.06.

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

States publishing
40
Median rate
$253.06units vary by state
Highest
$424.24Maine
Medicare (non-facility)
—not on the physician fee schedule

L4360 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
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$424.24since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$366.55since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$365.55since 2024-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$355.61since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$343.35since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$324.94since 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)$324.62since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$318.85since 2021-07-01——Plans negotiate; applies out of network—HCA Prosthetics and orthotics fee schedu
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$318.23since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$318.18since 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)$311.94since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$311.94since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$311.02since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$302.36since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$300.55since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$282.87since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$273.19since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$273.12since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$270.45since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$254.54since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$251.57since 2025-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2025-01-
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$245.84since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$245.72since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$235.63since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$235.45since 2026-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$231.06since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$222.73since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$219.45since 2022-01-01——Plans must pay at least this—NC Medicaid fee schedule 'Nurse Practiti
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$214.28since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$211.22since 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)$211.15since 2017-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$204.74since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$198.27since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$184.78since 2016-07-01——Plans negotiate; applies out of network—Orthotic and Prosthetic Fee Schedule - E
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$177.16since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$172.72since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$168.00since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$165.41since 2010-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$162.84since 1993-02-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$130.86since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic

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 L4360?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $253.06. Maine pays the most ($424.24) and Missouri the least ($130.86).

Which state pays the highest Medicaid rate for L4360?

Maine, at $424.24, effective 2026-01-01.

Do managed-care plans pay the same rate for L4360?

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.

Related Equipment & supplies codes

A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
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