L5430 Medicaid reimbursement rate by state (2026)
Immediate post surgical or early fitting. Medicaid pays a median of $534.87 for L5430 across 42 states, from $196.00 in Alabama to $855.16 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 42
- National median
- $534.87units vary by state
- Lowest
- $196.00Alabama
- Highest
- $855.16Alaska
What does Medicaid pay for L5430?
42 state Medicaid programs publish a fee-for-service rate for L5430 at the nurse midwife level. The national median is $534.87 (units differ between states). Alaska pays the most, $855.16, and Alabama the least, $196.00, a 4.4x spread.
L5430 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5430?
It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $534.87. Alaska pays the most ($855.16) and Alabama the least ($196.00).
Which state pays the highest Medicaid rate for L5430?
Alaska, at $855.16, effective 2026-01-01.
Do managed-care plans pay the same rate for L5430?
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.