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Billing code L5686 · Equipment & supplies

L5686 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, below knee, back check. Medicaid pays a median of $54.24 for L5686 across 50 states, from $10.41 in Florida to $91.73 in Alaska.

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

States publishing
50
National median
$54.24units vary by state
Lowest
$10.41Florida
Highest
$91.73Alaska
Answer

What does Medicaid pay for L5686?

50 state Medicaid programs publish a fee-for-service rate for L5686. The national median is $54.24 (units differ between states). Alaska pays the most, $91.73, and Florida the least, $10.41, a 8.8x spread.

State ranking

L5686 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$91.73——Not classified—
2North Dakota Source · since 2026-07-01$84.37——Not classified—
3Hawaii Source · since 2026-06-01$80.11——Plans negotiate; applies out of network—
25New York Source · since 2022-06-01$54.54——Plans negotiate; applies out of network—
26Kansas Source · since 2026-07-01$53.94——Plans must pay at least this—
27Utah Source · since 2025-07-01$52.88——Plans negotiate; applies out of network—
49Iowa Source · since 2024-07-01$14.44——State sets the plan rate—
50Florida Source · since 2026-07-01$10.41——Plans negotiate; applies out of network—
See all 50 states for L5686 — 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 L5686 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 L5686?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $54.24. Alaska pays the most ($91.73) and Florida the least ($10.41).

Which state pays the highest Medicaid rate for L5686?

Alaska, at $91.73, effective 2026-01-01.

Do managed-care plans pay the same rate for L5686?

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.