Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3250. 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
30
Median % of Medicare
--
Rate range
$8.55 - $600.00
L3250 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $190.00 | -- | -- | 2026 |
| Arkansas | $331.47* | -- | -- | 2026 |
| California | $171.02 | -- | -- | 2026 |
| Colorado | $226.05 | -- | Required | 2026 |
| Connecticut | $158.18 | -- | -- | 2013 |
| District of Columbia | $600.00 | -- | Required | 1995 |
| Hawaii | $8.55 | -- | -- | 2025 |
| Iowa | $227.29 | -- | -- | 2018 |
| Idaho | $186.36* | -- | Not required | 2025 |
| Illinois | $176.37 | -- | -- | 2026 |
| Indiana | $450.84 | -- | Required | 2026 |
| Kansas | $125.00 | -- | -- | 2006 |
| Kentucky | $231.77 | -- | -- | 2026 |
| Louisiana | $158.91 | -- | -- | 2026 |
| Massachusetts | $460.51 | -- | -- | 2026 |
| Maryland | $243.65 | -- | -- | 2026 |
| Maine | $419.68 | -- | -- | 2026 |
| Michigan | $143.29 | -- | -- | 2026 |
| Mississippi | $190.98* | -- | -- | 2026 |
| North Carolina | $260.22 | -- | -- | 2025 |
| Nebraska | $447.25 | -- | -- | 2026 |
| New Jersey | $250.00 | -- | Required | 2026 |
| New Mexico | $277.85 | -- | -- | 2025 |
| Nevada | $276.72 | -- | -- | 2011 |
| New York | $367.03 | -- | -- | 2026 |
| Texas | $106.49* | -- | -- | 2021 |
| Utah | $214.77* | -- | Not required | 2023 |
| Vermont | $414.10 | -- | -- | 2026 |
| Wisconsin | $301.55 | -- | -- | 2008 |
| West Virginia | $277.83 | -- | -- | 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)
- 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 L3250?
30 state Medicaid programs publish a fee-for-service rate for L3250 (orthopedic footwear, custom molded shoe, removable inner mold, prosthetic shoe, each), ranging from $8.55 in Hawaii to $600.00 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3250?
District of Columbia publishes the highest Medicaid rate for L3250 at $600.00. Hawaii publishes the lowest at $8.55.
Does L3250 require prior authorization under Medicaid?
4 of the 30 publishing states flag L3250 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".