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L5644 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, above knee, wood socket. Medicaid pays a median of $603.81 for L5644 across 47 states, from $104.08 in Florida to $964.12 in Montana.

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

States publishing
47
National median
$603.81units vary by state
Lowest
$104.08Florida
Highest
$964.12Montana

What does Medicaid pay for L5644?

47 state Medicaid programs publish a fee-for-service rate for L5644 at the nurse midwife level. The national median is $603.81 (units differ between states). Montana pays the most, $964.12, and Florida the least, $104.08, a 9.3x spread.

L5644 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$964.12——Not classified—
2Maine Source · since 2026-01-01$948.82——Not classified—
3South Dakota Source · since 2026-01-01$867.71——Not classified—
23Arizona Source · since 2026-10-01$605.81——Plans negotiate; applies out of network—
24Oklahoma Source · since 2026-01-01$603.81——Plans must pay at least this—
25South Carolina Source · since 2024-07-01$584.19——Not classified—
46California Source · since 2026-10-01$134.48——Plans negotiate; applies out of network—
47Florida Source · since 2026-07-01$104.08——Plans negotiate; applies out of network—
See all 47 states for L5644 — start free

39 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 L5644 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 L5644?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $603.81. Montana pays the most ($964.12) and Florida the least ($104.08).

Which state pays the highest Medicaid rate for L5644?

Montana, at $964.12, effective 2026-01-01.

Do managed-care plans pay the same rate for L5644?

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.