L3252 Medicaid Rate by State

Foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each

29 state Medicaid programs publish a fee-for-service rate for L3252 (foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each), ranging from $8.55 in Hawaii to $676.32 in Wyoming.

Every state, kept current

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This page shows one representative rate per state for L3252. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

29

Median % of Medicare

--

Rate range

$8.55 - $676.32

L3252 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$185.10----2026
California$157.92----2026
Colorado$278.62--Required2026
Connecticut$78.33----2013
District of Columbia$300.00--Not required1995
Hawaii$8.55----2025
Iowa$227.29----2018
Kansas$50.00----2006
Kentucky$210.21----2026
Louisiana$158.91----2026
Massachusetts$467.17----2026
Michigan$110.65----2026
Minnesota$268.00--Conditional1997
Mississippi$169.77*----2026
North Carolina$210.16----2025
North Dakota$365.37--Required2026
Nebraska$173.53----2026
New Jersey$256.00--Required2026
New Mexico$224.96----2025
Nevada$151.50----2011
New York$18.18----2026
Ohio$84.76----2010
Oklahoma$182.42----2020
Texas$65.00*----2021
Virginia$96.63----2010
Vermont$341.33----2026
Wisconsin$316.33----2008
West Virginia$81.00----2026
Wyoming$676.32----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

All 150 codes from L3000 to L3995 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for L3252?

29 state Medicaid programs publish a fee-for-service rate for L3252 (foot, shoe molded to patient model, plastazote (or similar), custom fabricated, each), ranging from $8.55 in Hawaii to $676.32 in Wyoming. The full table on this page lists every publishing state's current rate.

Which state pays the most for L3252?

Wyoming publishes the highest Medicaid rate for L3252 at $676.32. Hawaii publishes the lowest at $8.55.

Does L3252 require prior authorization under Medicaid?

4 of the 29 publishing states flag L3252 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".