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L5620 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, test socket, below knee. Medicaid pays a median of $277.19 for L5620 across 49 states, from $108.27 in California to $651.74 in New Mexico.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
49
National median
$277.19units vary by state
Lowest
$108.27California
Highest
$651.74New Mexico

What does Medicaid pay for L5620?

49 state Medicaid programs publish a fee-for-service rate for L5620 at the physician psychologist level. The national median is $277.19 (units differ between states). New Mexico pays the most, $651.74, and California the least, $108.27, a 6.0x spread.

L5620 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$651.74——Plans must pay at least this—
2Maine Source · since 2026-01-01$453.81——Not classified—
3Alaska Source · since 2026-01-01$430.46——Not classified—
24Oregon Source · since 2024-10-01$278.14——Plans negotiate; applies out of network—
25Kansas Source · since 2026-07-01$277.19——Plans must pay at least this—
26South Carolina Source · since 2024-07-01$274.98——Not classified—
48Florida Source · since 2026-07-01$176.73——Plans negotiate; applies out of network—
49California Source · since 2026-10-01$108.27——Plans negotiate; applies out of network—
See all 49 states for L5620 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track L5620 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L5620?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $277.19. New Mexico pays the most ($651.74) and California the least ($108.27).

Which state pays the highest Medicaid rate for L5620?

New Mexico, at $651.74, effective 2025-01-01.

Do managed-care plans pay the same rate for L5620?

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.