Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3212. 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
27
Median % of Medicare
--
Rate range
$6.13 - $100.00
L3212 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $28.42 | -- | -- | 2026 |
| California | $36.40 | -- | -- | 2026 |
| Colorado | $79.89 | -- | -- | 2026 |
| Connecticut | $65.41 | -- | -- | 2013 |
| Hawaii | $6.13 | -- | -- | 2025 |
| Iowa | $47.39 | -- | -- | 2018 |
| Illinois | $63.92 | -- | -- | 2026 |
| Kansas | $45.00 | -- | -- | 2006 |
| Kentucky | $56.43 | -- | -- | 2026 |
| Louisiana | $88.29 | -- | -- | 2026 |
| Michigan | $40.13 | -- | -- | 2026 |
| Minnesota | $100.00 | -- | -- | 1986 |
| Missouri | $56.67* | -- | Not required | 2019 |
| Mississippi | $59.00* | -- | -- | 2026 |
| North Carolina | $56.15 | -- | -- | 2025 |
| North Dakota | $87.90 | -- | Not required | 2026 |
| Nebraska | $71.56 | -- | -- | 2026 |
| New Jersey | $48.00 | -- | Required | 2026 |
| New Mexico | $80.73 | -- | -- | 2025 |
| Nevada | $49.85 | -- | -- | 2011 |
| New York | $22.22 | -- | -- | 2026 |
| South Carolina | $43.51 | -- | -- | 2024 |
| Texas | $52.08* | -- | -- | 2023 |
| Virginia | $54.57 | -- | -- | 2010 |
| Vermont | $71.34 | -- | -- | 2026 |
| Wisconsin | $96.83 | -- | -- | 2008 |
| West Virginia | $41.40 | -- | -- | 2026 |
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)
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- 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 150 codes from L3000 to L3995 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L3212?
27 state Medicaid programs publish a fee-for-service rate for L3212 (benesch boot, pair, infant), ranging from $6.13 in Hawaii to $100.00 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3212?
Minnesota publishes the highest Medicaid rate for L3212 at $100.00. Hawaii publishes the lowest at $6.13.
Does L3212 require prior authorization under Medicaid?
1 of the 27 publishing states flag L3212 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".