Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L2861. 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
10
Median % of Medicare
--
Rate range
$129.86 - $353.06
L2861 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $150.00 | -- | -- | 2026 |
| District of Columbia | $262.34 | -- | Not required | 2014 |
| Indiana | $353.06 | -- | -- | 2026 |
| Louisiana | $192.65 | -- | -- | 2026 |
| Maine | $263.97 | -- | -- | 2026 |
| Michigan | $292.50 | -- | -- | 2026 |
| Ohio | $250.00 | -- | -- | 2026 |
| Oklahoma | $129.86 | -- | -- | 2020 |
| Texas | $226.13* | -- | -- | 2021 |
| Wisconsin | $300.04 | -- | -- | 2010 |
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 104 codes from L2000 to L2861 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L2861?
10 state Medicaid programs publish a fee-for-service rate for L2861 (addition to lower extremity joint, knee or ankle, concentric adjustable torsion style mechanism for custom fabricated orthotics only, each), ranging from $129.86 in Oklahoma to $353.06 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for L2861?
Indiana publishes the highest Medicaid rate for L2861 at $353.06. Oklahoma publishes the lowest at $129.86.
Does L2861 require prior authorization under Medicaid?
No publishing state flags L2861 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.