L5450 Medicaid reimbursement rate by state (2026)
Immediate post surgical or early fitting. Medicaid pays a median of $417.87 for L5450 across 45 states, from $132.66 in California to $651.98 in New Mexico.
- States publishing
- 45
- National median
- $417.87units vary by state
- Lowest
- $132.66California
- Highest
- $651.98New Mexico
What does Medicaid pay for L5450?
45 state Medicaid programs publish a fee-for-service rate for L5450. The national median is $417.87 (units differ between states). New Mexico pays the most, $651.98, and California the least, $132.66, a 4.9x spread.
L5450 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5450?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $417.87. New Mexico pays the most ($651.98) and California the least ($132.66).
Which state pays the highest Medicaid rate for L5450?
New Mexico, at $651.98, effective 2025-01-01.
Do managed-care plans pay the same rate for L5450?
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.