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Billing code L4387 · Equipment & supplies

L4387 Medicaid reimbursement rate by state (2026)

Walking boot, non-pneumatic, with or without joints. Medicaid pays a median of $145.65 for L4387 across 45 states, from $85.00 in Ohio to $281.31 in New Mexico.

Data as of Oct 5, 202645 statesEvery rate links to its official source

States publishing
45
National median
$145.65units vary by state
Lowest
$85.00Ohio
Highest
$281.31New Mexico
Answer

What does Medicaid pay for L4387?

45 state Medicaid programs publish a fee-for-service rate for L4387. The national median is $145.65 (units differ between states). New Mexico pays the most, $281.31, and Ohio the least, $85.00 per Each, a 3.3x spread.

State ranking

L4387 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
1New Mexico Source · since 2025-01-01$281.31——Plans must pay at least this—
2North Dakota Source · since 2026-07-01$220.73——Not classified—
3Montana Source · since 2026-01-01$196.98——Not classified—
22Nevada Source · since 2019-11-01$147.53——Plans negotiate; applies out of network—
23Oregon Source · since 2024-10-01$145.65——Plans negotiate; applies out of network—
24Michigan Source · since 2026-01-01$144.20——Plans negotiate; applies out of network—
44Wisconsin Source · since 2014-01-01$93.18——Plans negotiate; applies out of network—
45Ohio Source · since 2021-10-01$85.00Each—Plans negotiate; applies out of network—
See all 45 states for L4387 — 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.

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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 L4387 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L4387?

It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $145.65. New Mexico pays the most ($281.31) and Ohio the least ($85.00 per Each).

Which state pays the highest Medicaid rate for L4387?

New Mexico, at $281.31, effective 2025-01-01.

Do managed-care plans pay the same rate for L4387?

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.