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Billing code L5647 · Equipment & supplies

L5647 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, below knee suction socket. Medicaid pays a median of $779.07 for L5647 across 50 states, from $279.68 in Pennsylvania to $1,783.37 in Alaska.

Data as of Oct 5, 202650 statesEvery rate links to its official source

States publishing
50
National median
$779.07units vary by state
Lowest
$279.68Pennsylvania
Highest
$1,783.37Alaska
Answer

What does Medicaid pay for L5647?

50 state Medicaid programs publish a fee-for-service rate for L5647. The national median is $779.07 (units differ between states). Alaska pays the most, $1,783.37, and Pennsylvania the least, $279.68, a 6.4x spread.

State ranking

L5647 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
1Alaska Source · since 2026-01-01$1,783.37——Not classified—
2Hawaii Source · since 2026-06-01$1,558.04——Plans negotiate; applies out of network—
3New Mexico Source · since 2025-01-01$1,398.56——Plans must pay at least this—
25Mississippi Source · since 2026-07-01$779.07——Plans must pay at least this—
26West Virginia Source · since 2026-04-01$779.07——Plans must pay at least this—
27District of Columbia Source · since 2026-04-01$779.07——Not classified—
49Florida Source · since 2026-07-01$285.71——Plans negotiate; applies out of network—
50Pennsylvania Source · since 2014-04-24$279.68——Plans negotiate; applies out of network—
See all 50 states for L5647 — 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.

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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 L5647 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L5647?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $779.07. Alaska pays the most ($1,783.37) and Pennsylvania the least ($279.68).

Which state pays the highest Medicaid rate for L5647?

Alaska, at $1,783.37, effective 2026-01-01.

Do managed-care plans pay the same rate for L5647?

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.