Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3257. 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
25
Median % of Medicare
--
Rate range
$8.55 - $193.60
L3257 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $15.00 | -- | -- | 2026 |
| Arkansas | $32.95* | -- | -- | 2026 |
| California | $39.20 | -- | -- | 2026 |
| Colorado | $57.58 | -- | Required | 2026 |
| Hawaii | $8.55 | -- | -- | 2025 |
| Iowa | $193.60 | -- | -- | 2018 |
| Idaho | $58.08* | -- | Not required | 2025 |
| Illinois | $31.96 | -- | -- | 2026 |
| Kansas | $20.00 | -- | -- | 2006 |
| Kentucky | $95.83 | -- | -- | 2026 |
| Michigan | $61.82 | -- | -- | 2026 |
| North Carolina | $38.37 | -- | -- | 2025 |
| Nebraska | $65.47 | -- | -- | 2026 |
| New Jersey | $50.00 | -- | Required | 2026 |
| New Mexico | $100.00 | -- | -- | 2026 |
| Nevada | $27.48 | -- | -- | 2011 |
| New York | $12.12 | -- | -- | 2026 |
| Ohio | $138.57 | -- | -- | 2010 |
| Oklahoma | $30.95 | -- | -- | 2020 |
| Texas | $22.50* | -- | -- | 2021 |
| Virginia | $57.66 | -- | -- | 2010 |
| Vermont | $44.10 | -- | -- | 2026 |
| Wisconsin | $45.39 | -- | -- | 2008 |
| West Virginia | $27.00 | -- | -- | 2026 |
| Wyoming | $177.45 | -- | -- | 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
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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 L3257?
25 state Medicaid programs publish a fee-for-service rate for L3257 (orthopedic footwear, additional charge for split size), ranging from $8.55 in Hawaii to $193.60 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3257?
Iowa publishes the highest Medicaid rate for L3257 at $193.60. Hawaii publishes the lowest at $8.55.
Does L3257 require prior authorization under Medicaid?
2 of the 25 publishing states flag L3257 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".