Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L1843. 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
41
Median % of Medicare
75.1%
Rate range
$259.70 - $1,291.51
L1843 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $1,291.51 | 117.7% | -- | 2026 |
| Alabama | $581.00 | 53% | -- | 2026 |
| Arkansas | $856.50* | 78.1% | -- | 2026 |
| Arizona | $1,002.40 | 91.4% | -- | 2026 |
| California | $259.70 | 23.7% | -- | 2026 |
| Colorado | $793.13 | 72.3% | Required | 2026 |
| Connecticut | $575.39 | 52.4% | Required | 2017 |
| Florida | $347.35 | 31.7% | -- | 2026 |
| Iowa | $770.46 | 70.2% | -- | 2025 |
| Idaho | $929.88 | 84.7% | Not required | 2026 |
| Illinois | $896.05 | 81.7% | -- | 2026 |
| Indiana | $1,081.09 | 98.5% | -- | 2026 |
| Kansas | $877.84 | 80% | -- | 2026 |
| Kentucky | $692.73 | 63.1% | -- | 2026 |
| Louisiana | $601.80 | 54.8% | -- | 2026 |
| Massachusetts | $823.54 | 75.1% | -- | 2026 |
| Maryland | $914.82 | 83.4% | -- | 2026 |
| Maine | $1,076.26 | 98.1% | -- | 2026 |
| Michigan | $816.01 | 74.4% | -- | 2026 |
| Minnesota | $1,102.71 | 100.5% | Conditional | 2026 |
| Missouri | $416.72* | 38% | Required | 2019 |
| Mississippi | $886.93* | 80.8% | -- | 2026 |
| Montana | $1,114.82 | 101.6% | Required | 2026 |
| North Carolina | $719.70 | 65.6% | -- | 2025 |
| North Dakota | $1,274.76 | 116.2% | Required | 2026 |
| Nebraska | $942.17 | 85.9% | -- | 2026 |
| New Hampshire | $927.39 | 84.5% | Not required | 2026 |
| New Jersey | $753.38 | 68.7% | Not required | 2026 |
| New Mexico | $1,086.84 | 99.1% | -- | 2025 |
| Nevada | $876.63 | 79.9% | -- | 2024 |
| New York | $640.88 | 58.4% | -- | 2026 |
| Ohio | $345.00 | 31.4% | -- | 2010 |
| Oklahoma | $776.01 | 70.7% | -- | 2026 |
| Texas | $637.97* | 58.1% | -- | 2015 |
| Utah | $797.82* | 72.7% | Required | 2026 |
| Virginia | $968.63 | 88.3% | -- | 2026 |
| Vermont | $902.16 | 82.2% | -- | 2026 |
| Washington | $808.90 | 73.7% | -- | 2026 |
| Wisconsin | $419.46 | 38.2% | -- | 2008 |
| West Virginia | $861.01 | 78.5% | -- | 2026 |
| Wyoming | $686.43 | 62.6% | -- | 2021 |
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 89 codes from L1000 to L1990 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L1843?
41 state Medicaid programs publish a fee-for-service rate for L1843 (knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise), ranging from $259.70 in California to $1,291.51 in Alaska, with a median of 75.1% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for L1843?
Alaska publishes the highest Medicaid rate for L1843 at $1,291.51 (117.7% of the national Medicare amount). California publishes the lowest at $259.70.
Does L1843 require prior authorization under Medicaid?
7 of the 41 publishing states flag L1843 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".