Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L0634. 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
12
Median % of Medicare
--
Rate range
$20.00 - $767.52
L0634 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $20.00 | -- | -- | 2026 |
| Colorado | $395.20 | -- | -- | 2026 |
| Hawaii | $21.15 | -- | -- | 2025 |
| Kansas | $195.26 | -- | -- | 2006 |
| Maine | $341.03 | -- | -- | 2026 |
| Missouri | $357.73* | -- | Not required | 2019 |
| North Carolina | $292.45 | -- | -- | 2025 |
| New York | $767.52 | -- | -- | 2026 |
| Ohio | $246.18 | -- | -- | 2010 |
| Pennsylvania | $506.86 | -- | -- | 2007 |
| Texas | $347.69* | -- | -- | 2026 |
| Wyoming | $564.38* | -- | -- | 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 L0634?
12 state Medicaid programs publish a fee-for-service rate for L0634 (lumbar-sacral orthosis, sagittal-coronal control, with rigid posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, custom fabricated), ranging from $20.00 in Alabama to $767.52 in New York. The full table on this page lists every publishing state's current rate.
Which state pays the most for L0634?
New York publishes the highest Medicaid rate for L0634 at $767.52. Alabama publishes the lowest at $20.00.
Does L0634 require prior authorization under Medicaid?
No publishing state flags L0634 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.