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L5632 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, symes type. Medicaid pays a median of $230.19 for L5632 across 50 states, from $73.81 in Iowa to $373.02 in North Dakota.

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

States publishing
50
National median
$230.19units vary by state
Lowest
$73.81Iowa
Highest
$373.02North Dakota

What does Medicaid pay for L5632?

50 state Medicaid programs publish a fee-for-service rate for L5632 at the nurse midwife level. The national median is $230.19 (units differ between states). North Dakota pays the most, $373.02, and Iowa the least, $73.81, a 5.1x spread.

L5632 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$373.02——Not classified—
2Alaska Source · since 2026-01-01$360.17——Not classified—
3Montana Source · since 2026-01-01$334.16——Not classified—
25Maryland Source · since 2026-01-01$231.06——Not classified—
26Colorado Source · since 2026-07-01$229.31——Plans negotiate; applies out of network—
27Nevada Source · since 2017-01-01$224.42——Plans negotiate; applies out of network—
49Pennsylvania Source · since 2014-04-19$76.38——Plans negotiate; applies out of network—
50Iowa Source · since 2025-07-01$73.81——State sets the plan rate—
See all 50 states for L5632 — start free

42 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 L5632 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 L5632?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $230.19. North Dakota pays the most ($373.02) and Iowa the least ($73.81).

Which state pays the highest Medicaid rate for L5632?

North Dakota, at $373.02, effective 2026-07-01.

Do managed-care plans pay the same rate for L5632?

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.