L5200 Medicaid reimbursement rate by state (2026)
Above knee, molded socket. Medicaid pays a median of $3,312.25 for L5200 across 49 states, from $1,405.01 in California to $5,771.16 in Alaska.
- States publishing
- 49
- National median
- $3,312.25units vary by state
- Lowest
- $1,405.01California
- Highest
- $5,771.16Alaska
What does Medicaid pay for L5200?
49 state Medicaid programs publish a fee-for-service rate for L5200. The national median is $3,312.25 (units differ between states). Alaska pays the most, $5,771.16, and California the least, $1,405.01, a 4.1x spread.
L5200 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5200?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $3,312.25. Alaska pays the most ($5,771.16) and California the least ($1,405.01).
Which state pays the highest Medicaid rate for L5200?
Alaska, at $5,771.16, effective 2026-01-01.
Do managed-care plans pay the same rate for L5200?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.