Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L0452. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
24
Median % of Medicare
--
Rate range
$125.20 - $390.10
L0452 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $188.00 | -- | -- | 2026 |
| Arkansas | $263.81* | -- | -- | 2026 |
| Arizona | $300.04 | -- | -- | 2026 |
| Colorado | $324.96 | -- | Required | 2026 |
| Connecticut | $280.57 | -- | -- | 2013 |
| Florida | $244.14 | -- | -- | 2026 |
| Hawaii | $390.10 | -- | -- | 2025 |
| Illinois | $256.09 | -- | -- | 2026 |
| Indiana | $333.94 | -- | -- | 2026 |
| Kansas | $125.20 | -- | -- | 2006 |
| Kentucky | $271.28 | -- | -- | 2026 |
| Maine | $288.79 | -- | -- | 2026 |
| Michigan | $224.88 | -- | -- | 2026 |
| Missouri | $307.67* | -- | Not required | 2019 |
| North Carolina | $250.19 | -- | -- | 2025 |
| New Jersey | $264.68 | -- | Not required | 2026 |
| Nevada | $344.96 | -- | -- | 2024 |
| New York | $334.16 | -- | -- | 2026 |
| Ohio | $202.07 | -- | -- | 2010 |
| Pennsylvania | $284.14 | -- | -- | 2004 |
| Texas | $263.81* | -- | -- | 2003 |
| Wisconsin | $257.17 | -- | -- | 2008 |
| West Virginia | $198.51 | -- | -- | 2026 |
| Wyoming | $257.17* | -- | -- | 2025 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 80 codes from L0112 to L0984 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L0452?
24 state Medicaid programs publish a fee-for-service rate for L0452 (tlso, flexible, provides trunk support, upper thoracic region, produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s), includes shoulder straps and closures, custom fabricated), ranging from $125.20 in Kansas to $390.10 in Hawaii. The full table on this page lists every publishing state's current rate.
Which state pays the most for L0452?
Hawaii publishes the highest Medicaid rate for L0452 at $390.10. Kansas publishes the lowest at $125.20.
Does L0452 require prior authorization under Medicaid?
1 of the 24 publishing states flag L0452 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".