L5505 Medicaid reimbursement rate by state (2026)
Initial, above knee - knee disarticulation. Medicaid pays a median of $1,739.68 for L5505 across 49 states, from $550.00 in Pennsylvania to $3,376.31 in Alaska.
- States publishing
- 49
- National median
- $1,739.68units vary by state
- Lowest
- $550.00Pennsylvania
- Highest
- $3,376.31Alaska
What does Medicaid pay for L5505?
49 state Medicaid programs publish a fee-for-service rate for L5505. The national median is $1,739.68 (units differ between states). Alaska pays the most, $3,376.31, and Pennsylvania the least, $550.00, a 6.1x spread.
L5505 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 L5505?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $1,739.68. Alaska pays the most ($3,376.31) and Pennsylvania the least ($550.00).
Which state pays the highest Medicaid rate for L5505?
Alaska, at $3,376.31, effective 2026-01-01.
Do managed-care plans pay the same rate for L5505?
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.