L5530 Medicaid reimbursement rate by state (2026)
Preparatory, below knee 'ptb' type socket. Medicaid pays a median of $1,793.19 for L5530 across 50 states, from $610.00 in Pennsylvania to $3,642.35 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 50
- National median
- $1,793.19units vary by state
- Lowest
- $610.00Pennsylvania
- Highest
- $3,642.35Alaska
What does Medicaid pay for L5530?
50 state Medicaid programs publish a fee-for-service rate for L5530 at the nurse midwife level. The national median is $1,793.19 (units differ between states). Alaska pays the most, $3,642.35, and Pennsylvania the least, $610.00, a 6.0x spread.
L5530 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5530?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $1,793.19. Alaska pays the most ($3,642.35) and Pennsylvania the least ($610.00).
Which state pays the highest Medicaid rate for L5530?
Alaska, at $3,642.35, effective 2026-01-01.
Do managed-care plans pay the same rate for L5530?
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.