L5685 Medicaid reimbursement rate by state (2026)
Addition to lower extremity prosthesis, below knee. Medicaid pays a median of $117.32 for L5685 across 50 states, from $48.92 in Florida to $227.67 in New Mexico.
- States publishing
- 50
- National median
- $117.32units vary by state
- Lowest
- $48.92Florida
- Highest
- $227.67New Mexico
What does Medicaid pay for L5685?
50 state Medicaid programs publish a fee-for-service rate for L5685. The national median is $117.32 (units differ between states). New Mexico pays the most, $227.67, and Florida the least, $48.92, a 4.7x spread.
L5685 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.
Frequently asked questions
What does Medicaid pay for L5685?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $117.32. New Mexico pays the most ($227.67) and Florida the least ($48.92).
Which state pays the highest Medicaid rate for L5685?
New Mexico, at $227.67, effective 2025-01-01.
Do managed-care plans pay the same rate for L5685?
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.