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Billing code L5678 · Equipment & supplies

L5678 Medicaid reimbursement rate by state (2026)

Additions to lower extremity, below knee, joint covers, pair. Medicaid pays a median of $40.75 for L5678 across 49 states, from $10.41 in Florida to $120.52 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$40.75units vary by state
Lowest
$10.41Florida
Highest
$120.52Alaska
Answer

What does Medicaid pay for L5678?

49 state Medicaid programs publish a fee-for-service rate for L5678. The national median is $40.75 (units differ between states). Alaska pays the most, $120.52, and Florida the least, $10.41, a 11.6x spread.

State ranking

L5678 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$120.52——Not classified—
2Hawaii Source · since 2026-06-01$105.33——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$68.49——Not classified—
24Maryland Source · since 2026-01-01$41.32——Not classified—
25Vermont Source · since 2026-01-01$40.75——Not classified—
26Wyoming Source · since 2021-01-01$40.41——Not classified—
48Wisconsin Source · since 2008-07-01$13.19——Plans negotiate; applies out of network—
49Florida Source · since 2026-07-01$10.41——Plans negotiate; applies out of network—
See all 49 states for L5678 — 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.

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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 L5678 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 L5678?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $40.75. Alaska pays the most ($120.52) and Florida the least ($10.41).

Which state pays the highest Medicaid rate for L5678?

Alaska, at $120.52, effective 2026-01-01.

Do managed-care plans pay the same rate for L5678?

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.