L5658 Medicaid reimbursement rate by state (2026)
Addition to lower extremity, socket insert, above knee. Medicaid pays a median of $365.13 for L5658 across 49 states, from $137.12 in California to $586.69 in North Dakota.
- States publishing
- 49
- National median
- $365.13units vary by state
- Lowest
- $137.12California
- Highest
- $586.69North Dakota
What does Medicaid pay for L5658?
49 state Medicaid programs publish a fee-for-service rate for L5658. The national median is $365.13 (units differ between states). North Dakota pays the most, $586.69, and California the least, $137.12, a 4.3x spread.
L5658 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.
Frequently asked questions
What does Medicaid pay for L5658?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $365.13. North Dakota pays the most ($586.69) and California the least ($137.12).
Which state pays the highest Medicaid rate for L5658?
North Dakota, at $586.69, effective 2026-07-01.
Do managed-care plans pay the same rate for L5658?
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.