L5636 Medicaid reimbursement rate by state (2026)
Addition to lower extremity, symes type. Medicaid pays a median of $256.98 for L5636 across 50 states, from $101.70 in Pennsylvania to $415.91 in Maine.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 50
- National median
- $256.98units vary by state
- Lowest
- $101.70Pennsylvania
- Highest
- $415.91Maine
What does Medicaid pay for L5636?
50 state Medicaid programs publish a fee-for-service rate for L5636 at the nurse midwife level. The national median is $256.98 (units differ between states). Maine pays the most, $415.91, and Pennsylvania the least, $101.70, a 4.1x spread.
L5636 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 L5636?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $256.98. Maine pays the most ($415.91) and Pennsylvania the least ($101.70).
Which state pays the highest Medicaid rate for L5636?
Maine, at $415.91, effective 2026-01-01.
Do managed-care plans pay the same rate for L5636?
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.