Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L4002. 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
20
Median % of Medicare
--
Rate range
$0.50 - $37.40
L4002 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| California | $7.50 | -- | -- | 2026 |
| Colorado | $11.64 | -- | Required | 2026 |
| Connecticut | $26.25 | -- | -- | 2013 |
| District of Columbia | $19.20 | -- | Not required | 2019 |
| Hawaii | $0.50 | -- | -- | 2025 |
| Kansas | $15.00 | -- | -- | 2006 |
| Maine | $22.49 | -- | -- | 2026 |
| Michigan | $13.24 | -- | -- | 2026 |
| Minnesota | $37.40 | -- | Conditional | 2010 |
| North Carolina | $14.87 | -- | -- | 2025 |
| North Dakota | $12.85 | -- | Not required | 2026 |
| New Jersey | $18.00 | -- | Not required | 2026 |
| New York | $20.20 | -- | -- | 2026 |
| Ohio | $10.00 | -- | -- | 2026 |
| Texas | $21.25* | -- | -- | 2016 |
| Virginia | $22.94 | -- | -- | 2010 |
| Washington | $14.48 | -- | -- | 2026 |
| Wisconsin | $30.30 | -- | -- | 2008 |
| West Virginia | $11.52 | -- | -- | 2026 |
| Wyoming | $15.78 | -- | -- | 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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- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 30 codes from L4000 to L4631 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L4002?
20 state Medicaid programs publish a fee-for-service rate for L4002 (replacement strap, any orthosis, includes all components, any length, any type), ranging from $0.50 in Hawaii to $37.40 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for L4002?
Minnesota publishes the highest Medicaid rate for L4002 at $37.40. Hawaii publishes the lowest at $0.50.
Does L4002 require prior authorization under Medicaid?
2 of the 20 publishing states flag L4002 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".