Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3253. 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
29
Median % of Medicare
--
Rate range
$8.55 - $227.29
L3253 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $90.00 | -- | -- | 2026 |
| Arkansas | $44.64* | -- | -- | 2026 |
| California | $50.40 | -- | -- | 2026 |
| Colorado | $75.67 | -- | Required | 2026 |
| Connecticut | $73.39 | -- | -- | 2013 |
| District of Columbia | $200.00 | -- | Not required | 1995 |
| Florida | $70.78 | -- | -- | 2026 |
| Hawaii | $8.55 | -- | -- | 2025 |
| Iowa | $227.29 | -- | -- | 2018 |
| Kansas | $50.00 | -- | -- | 2006 |
| Kentucky | $99.94 | -- | -- | 2026 |
| Louisiana | $158.91 | -- | -- | 2026 |
| Michigan | $73.45 | -- | -- | 2026 |
| Minnesota | $185.60 | -- | Conditional | 1997 |
| Mississippi | $80.71* | -- | -- | 2026 |
| North Carolina | $99.92 | -- | -- | 2025 |
| North Dakota | $214.49 | -- | Required | 2026 |
| Nebraska | $173.53 | -- | -- | 2026 |
| New Jersey | $112.00 | -- | Required | 2026 |
| Nevada | $38.07 | -- | -- | 2011 |
| New York | $50.50 | -- | -- | 2026 |
| Ohio | $64.08 | -- | -- | 2010 |
| Oklahoma | $86.73 | -- | -- | 2020 |
| Texas | $50.00* | -- | -- | 2021 |
| Virginia | $67.69 | -- | -- | 2010 |
| Vermont | $81.54 | -- | -- | 2026 |
| Wisconsin | $65.56 | -- | -- | 2008 |
| West Virginia | $55.89 | -- | -- | 2026 |
| Wyoming | $47.78 | -- | -- | 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.
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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 L3253?
29 state Medicaid programs publish a fee-for-service rate for L3253 (foot, molded shoe plastazote (or similar) custom fitted, each), ranging from $8.55 in Hawaii to $227.29 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3253?
Iowa publishes the highest Medicaid rate for L3253 at $227.29. Hawaii publishes the lowest at $8.55.
Does L3253 require prior authorization under Medicaid?
4 of the 29 publishing states flag L3253 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".