Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3222. 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
32
Median % of Medicare
--
Rate range
$6.84 - $204.00
L3222 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $204.00 | -- | -- | 2026 |
| Arkansas | $139.22* | -- | -- | 2026 |
| California | $58.80 | -- | -- | 2026 |
| Colorado | $97.90 | -- | Required | 2026 |
| Connecticut | $74.29 | -- | -- | 2013 |
| District of Columbia | $150.00 | -- | Not required | 1995 |
| Florida | $103.04 | -- | -- | 2026 |
| Hawaii | $6.84 | -- | -- | 2025 |
| Iowa | $71.69 | -- | -- | 2013 |
| Idaho | $92.49* | -- | Not required | 2025 |
| Illinois | $82.25 | -- | -- | 2026 |
| Indiana | $95.74 | -- | -- | 2026 |
| Kansas | $125.00 | -- | -- | 2006 |
| Kentucky | $111.86 | -- | -- | 2026 |
| Louisiana | $88.29 | -- | -- | 2026 |
| Massachusetts | $146.67 | -- | -- | 2026 |
| Maine | $120.39 | -- | -- | 2026 |
| Michigan | $53.37 | -- | -- | 2026 |
| Missouri | $46.37* | -- | Not required | 2019 |
| Mississippi | $104.30* | -- | -- | 2026 |
| North Carolina | $129.12 | -- | -- | 2025 |
| Nebraska | $169.95 | -- | -- | 2026 |
| New Jersey | $93.45 | -- | Not required | 2026 |
| Nevada | $62.06 | -- | -- | 2011 |
| New York | $94.78 | -- | -- | 2026 |
| Ohio | $117.89 | -- | -- | 2010 |
| Oklahoma | $112.33 | -- | -- | 2020 |
| Texas | $30.00* | -- | -- | 2021 |
| Virginia | $63.80 | -- | -- | 2010 |
| Wisconsin | $80.70 | -- | -- | 2008 |
| West Virginia | $162.00 | -- | -- | 2026 |
| Wyoming | $112.13 | -- | -- | 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 150 codes from L3000 to L3995 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L3222?
32 state Medicaid programs publish a fee-for-service rate for L3222 (orthopedic footwear, mens shoe, hightop, depth inlay, each), ranging from $6.84 in Hawaii to $204.00 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3222?
Alabama publishes the highest Medicaid rate for L3222 at $204.00. Hawaii publishes the lowest at $6.84.
Does L3222 require prior authorization under Medicaid?
1 of the 32 publishing states flag L3222 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".