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L5665 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, socket insert, multi-durometer. Medicaid pays a median of $501.47 for L5665 across 49 states, from $213.37 in Florida to $1,177.36 in Alaska.

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

States publishing
49
National median
$501.47units vary by state
Lowest
$213.37Florida
Highest
$1,177.36Alaska

What does Medicaid pay for L5665?

49 state Medicaid programs publish a fee-for-service rate for L5665 at the nurse midwife level. The national median is $501.47 (units differ between states). Alaska pays the most, $1,177.36, and Florida the least, $213.37, a 5.5x spread.

L5665 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,177.36——Not classified—
2Hawaii Source · since 2026-06-01$1,028.61——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$835.79——Not classified—
24South Carolina Source · since 2024-07-01$506.43——Not classified—
25Mississippi Source · since 2026-07-01$501.47——Plans must pay at least this—
26West Virginia Source · since 2026-04-01$501.47——Plans must pay at least this—
48Pennsylvania Source · since 1989-01-01$219.68——Plans negotiate; applies out of network—
49Florida Source · since 2026-07-01$213.37——Plans negotiate; applies out of network—
See all 49 states for L5665 — start free

41 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 L5665 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 L5665?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $501.47. Alaska pays the most ($1,177.36) and Florida the least ($213.37).

Which state pays the highest Medicaid rate for L5665?

Alaska, at $1,177.36, effective 2026-01-01.

Do managed-care plans pay the same rate for L5665?

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.