L3927 Medicaid Rate by State

Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf

35 state Medicaid programs publish a fee-for-service rate for L3927 (finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf), ranging from $21.42 in California to $56.51 in New Mexico, with a median of 78.5% of the national Medicare amount.

Every state, kept current

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Publishing states

35

Median % of Medicare

78.5%

Rate range

$21.42 - $56.51

L3927 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$22.8858.8%--2026
Arkansas$30.40*78.1%--2026
Arizona$35.5591.3%--2026
California$21.4255%--2026
Colorado$31.2380.2%--2026
Connecticut$22.7058.3%--2013
District of Columbia$30.5478.5%Not required2026
Illinois$25.8366.4%--2026
Indiana$38.3898.6%--2026
Kansas$31.1480%--2026
Kentucky$22.0956.8%--2026
Massachusetts$29.1875%--2026
Maryland$32.4483.4%--2026
Maine$38.1598%--2026
Minnesota$39.15100.6%Conditional2026
Missouri$28.16*72.4%Not required2019
Mississippi$31.47*80.9%--2026
Montana$39.56101.6%Not required2026
North Dakota$42.88110.2%Not required2026
Nebraska$34.3988.4%--2026
New Hampshire$32.8784.5%Not required2026
New Jersey$26.7168.6%Not required2026
New Mexico$56.51145.2%--2025
Nevada$31.0879.9%--2024
New York$28.3872.9%--2026
Ohio$29.9376.9%--2026
Oklahoma$27.5470.8%--2026
South Carolina$31.7981.7%--2019
Texas$28.99*74.5%--2010
Utah$28.31*72.7%Not required2026
Virginia$34.3588.3%--2026
Vermont$31.9882.2%--2026
Washington$28.6873.7%--2026
Wisconsin$29.7576.4%--2014
West Virginia$30.5478.5%--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

All 150 codes from L3000 to L3995 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for L3927?

35 state Medicaid programs publish a fee-for-service rate for L3927 (finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf), ranging from $21.42 in California to $56.51 in New Mexico, 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 L3927?

New Mexico publishes the highest Medicaid rate for L3927 at $56.51 (145.2% of the national Medicare amount). California publishes the lowest at $21.42.

Does L3927 require prior authorization under Medicaid?

1 of the 35 publishing states flag L3927 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".