Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L7406. 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
17
Median % of Medicare
86.4%
Rate range
$2,254.34 - $3,168.60
L7406 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $2,933.89 | 93.1% | -- | 2026 |
| Colorado | $2,510.17 | 79.7% | Required | 2026 |
| Connecticut | $3,088.61 | 98% | -- | 2025 |
| District of Columbia | $2,520.06 | 80% | Required | 2026 |
| Idaho | $2,721.66* | 86.4% | Not required | 2026 |
| Indiana | $3,168.60 | 100.6% | -- | 2026 |
| Massachusetts | $2,903.00 | 92.2% | -- | 2026 |
| Maine | $3,150.07 | 100% | -- | 2026 |
| Minnesota | $3,150.07 | 100% | Required | 2026 |
| Missouri | $3,088.30* | 98% | Not required | 2025 |
| Mississippi | $2,520.06* | 80% | -- | 2026 |
| New Hampshire | $2,470.64 | 78.4% | Not required | 2026 |
| New Mexico | $3,088.30 | 98% | -- | 2025 |
| New York | $2,470.64 | 78.4% | -- | 2026 |
| Ohio | $2,470.00 | 78.4% | -- | 2025 |
| Utah | $2,254.34* | 71.6% | Not required | 2026 |
| Vermont | $2,640.50 | 83.8% | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 29 codes from L7007 to L7700 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L7406?
17 state Medicaid programs publish a fee-for-service rate for L7406 (addition to upper extremity prosthesis, user adjustable, mechanical, residual limb volume management system (with or without lamination kit)), ranging from $2,254.34 in Utah to $3,168.60 in Indiana, with a median of 86.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for L7406?
Indiana publishes the highest Medicaid rate for L7406 at $3,168.60 (100.6% of the national Medicare amount). Utah publishes the lowest at $2,254.34.
Does L7406 require prior authorization under Medicaid?
3 of the 17 publishing states flag L7406 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".