Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3254. 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
16
Median % of Medicare
--
Rate range
$2.08 - $400.00
L3254 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $35.00 | -- | -- | 2026 |
| California | $21.28 | -- | -- | 2026 |
| Colorado | $27.29 | -- | Required | 2026 |
| District of Columbia | $400.00 | -- | Required | 1995 |
| Florida | $2.14 | -- | -- | 2026 |
| Hawaii | $8.55 | -- | -- | 2025 |
| Kentucky | $149.07 | -- | -- | 2026 |
| Louisiana | $57.39 | -- | -- | 2026 |
| Michigan | $8.81 | -- | -- | 2026 |
| North Carolina | $26.89 | -- | -- | 2025 |
| Nebraska | $24.52 | -- | -- | 2026 |
| New Jersey | $20.00 | -- | Required | 2026 |
| New York | $2.08 | -- | -- | 2026 |
| Vermont | $10.19 | -- | -- | 2026 |
| Wisconsin | $42.18 | -- | -- | 2008 |
| West Virginia | $12.96 | -- | -- | 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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- 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 L3254?
16 state Medicaid programs publish a fee-for-service rate for L3254 (non-standard size or width), ranging from $2.08 in New York to $400.00 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3254?
District of Columbia publishes the highest Medicaid rate for L3254 at $400.00. New York publishes the lowest at $2.08.
Does L3254 require prior authorization under Medicaid?
3 of the 16 publishing states flag L3254 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".