L3265 Medicaid Rate by State

Plastazote sandal, each

24 state Medicaid programs publish a fee-for-service rate for L3265 (plastazote sandal, each), ranging from $2.28 in Hawaii to $187.00 in Alabama.

Every state, kept current

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This page shows one representative rate per state for L3265. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

24

Median % of Medicare

--

Rate range

$2.28 - $187.00

L3265 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$187.00----2026
Arkansas$20.54*----2026
California$50.40----2026
Colorado$57.23--Required2026
Connecticut$77.52----2013
District of Columbia$50.00--Required2003
Hawaii$2.28----2025
Iowa$40.54----2024
Idaho$4.70*--Not required2025
Kansas$30.00----2006
Kentucky$25.00----2026
Louisiana$158.91----2026
Maryland$10.88----2026
Michigan$19.58----2026
Minnesota$14.40----1997
North Carolina$55.92----2025
Nebraska$71.56----2026
New Jersey$56.00--Required2026
Nevada$17.85----2024
New York$25.25----2026
Oklahoma$8.47----2020
Texas$37.83*----2026
West Virginia$40.50----2026
Wyoming$9.44----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 L3265?

24 state Medicaid programs publish a fee-for-service rate for L3265 (plastazote sandal, each), ranging from $2.28 in Hawaii to $187.00 in Alabama. The full table on this page lists every publishing state's current rate.

Which state pays the most for L3265?

Alabama publishes the highest Medicaid rate for L3265 at $187.00. Hawaii publishes the lowest at $2.28.

Does L3265 require prior authorization under Medicaid?

3 of the 24 publishing states flag L3265 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".