Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L3455. 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
40
Median % of Medicare
78.5%
Rate range
$4.54 - $65.81
L3455 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $6.00 | 12.1% | -- | 2026 |
| Arkansas | $32.95* | 66.2% | -- | 2026 |
| Arizona | $45.48 | 91.4% | -- | 2026 |
| California | $9.25 | 18.6% | -- | 2026 |
| Colorado | $40.47 | 81.3% | Required | 2026 |
| Connecticut | $29.01 | 58.3% | -- | 2013 |
| District of Columbia | $39.06 | 78.5% | Not required | 2026 |
| Hawaii | $19.19 | 38.6% | -- | 2025 |
| Iowa | $33.50 | 67.3% | -- | 2013 |
| Idaho | $42.19* | 84.8% | Not required | 2026 |
| Illinois | $38.00 | 76.4% | -- | 2026 |
| Indiana | $49.04 | 98.5% | -- | 2026 |
| Kansas | $39.81 | 80% | -- | 2026 |
| Kentucky | $32.04 | 64.4% | -- | 2026 |
| Louisiana | $65.81 | 132.2% | -- | 2026 |
| Massachusetts | $42.84 | 86.1% | -- | 2026 |
| Maryland | $41.51 | 83.4% | -- | 2026 |
| Maine | $48.83 | 98.1% | -- | 2026 |
| Michigan | $37.01 | 74.4% | -- | 2026 |
| Minnesota | $50.02 | 100.5% | Conditional | 2026 |
| Missouri | $18.54* | 37.3% | Not required | 2019 |
| Mississippi | $40.25* | 80.9% | -- | 2026 |
| Montana | $50.52 | 101.5% | Not required | 2026 |
| North Carolina | $32.66 | 65.6% | -- | 2025 |
| Nebraska | $42.73 | 85.9% | -- | 2026 |
| New Hampshire | $42.08 | 84.5% | Not required | 2026 |
| New Jersey | $34.18 | 68.7% | Not required | 2026 |
| New Mexico | $49.32 | 99.1% | -- | 2025 |
| Nevada | $37.87 | 76.1% | -- | 2017 |
| New York | $4.54 | 9.1% | -- | 2026 |
| Ohio | $15.38 | 30.9% | -- | 2010 |
| Oklahoma | $35.22 | 70.8% | -- | 2026 |
| South Carolina | $40.63 | 81.6% | -- | 2024 |
| Texas | $24.66* | 49.5% | -- | 2026 |
| Utah | $36.15* | 72.6% | Not required | 2026 |
| Virginia | $43.95 | 88.3% | -- | 2026 |
| Vermont | $40.93 | 82.2% | -- | 2026 |
| Wisconsin | $10.02 | 20.1% | -- | 2008 |
| West Virginia | $39.06 | 78.5% | -- | 2026 |
| Wyoming | $31.13 | 62.5% | -- | 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 L3455?
40 state Medicaid programs publish a fee-for-service rate for L3455 (heel, new leather, standard), ranging from $4.54 in New York to $65.81 in Louisiana, with a median of 78.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for L3455?
Louisiana publishes the highest Medicaid rate for L3455 at $65.81 (132.2% of the national Medicare amount). New York publishes the lowest at $4.54.
Does L3455 require prior authorization under Medicaid?
2 of the 40 publishing states flag L3455 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".