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L5626 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, test socket. Medicaid pays a median of $503.15 for L5626 across 49 states, from $155.70 in Iowa to $803.89 in Alaska.

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

States publishing
49
National median
$503.15units vary by state
Lowest
$155.70Iowa
Highest
$803.89Alaska

What does Medicaid pay for L5626?

49 state Medicaid programs publish a fee-for-service rate for L5626 at the nurse midwife level. The national median is $503.15 (units differ between states). Alaska pays the most, $803.89, and Iowa the least, $155.70, a 5.2x spread.

L5626 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
1Alaska Source · since 2026-01-01$803.89——Not classified—
2Minnesota Source · since 2026-01-01$778.27——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$763.01unit—Plans must pay at least this—
24Arkansas Source · since 2025-06-04$503.51——Not classified—
25Washington Source · since 2021-07-01$503.15——Plans negotiate; applies out of network—
26Kansas Source · since 2026-07-01$477.52——Plans must pay at least this—
48California Source · since 2026-10-01$174.10——Plans negotiate; applies out of network—
49Iowa Source · since 2025-07-01$155.70——State sets the plan rate—
See all 49 states for L5626 — 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 L5626 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 L5626?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $503.15. Alaska pays the most ($803.89) and Iowa the least ($155.70).

Which state pays the highest Medicaid rate for L5626?

Alaska, at $803.89, effective 2026-01-01.

Do managed-care plans pay the same rate for L5626?

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.