L4397 Medicaid reimbursement rate by state (2026)
Static or dynamic ankle foot orthosis. Medicaid pays a median of $151.92 for L4397 across 43 states, from $62.00 in Wisconsin to $297.84 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 43
- National median
- $151.92units vary by state
- Lowest
- $62.00Wisconsin
- Highest
- $297.84New Mexico
What does Medicaid pay for L4397?
43 state Medicaid programs publish a fee-for-service rate for L4397 at the nurse midwife level. The national median is $151.92 (units differ between states). New Mexico pays the most, $297.84, and Wisconsin the least, $62.00, a 4.8x spread.
L4397 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L4397?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $151.92. New Mexico pays the most ($297.84) and Wisconsin the least ($62.00).
Which state pays the highest Medicaid rate for L4397?
New Mexico, at $297.84, effective 2025-01-01.
Do managed-care plans pay the same rate for L4397?
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.