Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L0629. 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
$29/mo after the trial. Cancel anytime.
Publishing states
15
Median % of Medicare
--
Rate range
$32.29 - $1,077.20
L0629 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $198.95 | -- | Required | 2026 |
| Florida | $186.30 | -- | -- | 2026 |
| Hawaii | $32.29 | -- | -- | 2025 |
| Iowa | $1,077.20 | -- | -- | 2024 |
| Kansas | $57.12 | -- | -- | 2006 |
| Maine | $190.06 | -- | -- | 2026 |
| Michigan | $147.85 | -- | -- | 2026 |
| Missouri | $246.54* | -- | Not required | 2019 |
| North Carolina | $202.03 | -- | -- | 2025 |
| New York | $176.75 | -- | -- | 2026 |
| Ohio | $164.66 | -- | Not required | 2010 |
| Pennsylvania | $171.44 | -- | -- | 2007 |
| Texas | $174.10* | -- | -- | 2026 |
| West Virginia | $164.18 | -- | -- | 2026 |
| Wyoming | $147.85* | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 L0629?
15 state Medicaid programs publish a fee-for-service rate for L0629 (lumbar-sacral orthosis, flexible, provides lumbo-sacral support, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include stays, shoulder straps, pendulous abdomen design, custom fabricated), ranging from $32.29 in Hawaii to $1,077.20 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for L0629?
Iowa publishes the highest Medicaid rate for L0629 at $1,077.20. Hawaii publishes the lowest at $32.29.
Does L0629 require prior authorization under Medicaid?
1 of the 15 publishing states flag L0629 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".