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Billing code L5690 · Equipment & supplies

L5690 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, below knee, waist belt. Medicaid pays a median of $98.60 for L5690 across 50 states, from $50.00 in Alabama to $196.00 in Alaska.

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

States publishing
50
National median
$98.60units vary by state
Lowest
$50.00Alabama
Highest
$196.00Alaska
Answer

What does Medicaid pay for L5690?

50 state Medicaid programs publish a fee-for-service rate for L5690. The national median is $98.60 (units differ between states). Alaska pays the most, $196.00, and Alabama the least, $50.00, a 3.9x spread.

State ranking

L5690 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$196.00——Not classified—
2Hawaii Source · since 2026-06-01$171.25——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$159.73——Not classified—
25Oregon Source · since 2024-10-01$99.52——Plans negotiate; applies out of network—
26Kansas Source · since 2026-07-01$97.68——Plans must pay at least this—
27Washington Source · since 2021-07-01$97.66——Plans negotiate; applies out of network—
49Florida Source · since 2026-07-01$54.12——Plans negotiate; applies out of network—
50Alabama Source · since 2026-05-20$50.00——Not classified—
See all 50 states for L5690 — 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 L5690 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 L5690?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $98.60. Alaska pays the most ($196.00) and Alabama the least ($50.00).

Which state pays the highest Medicaid rate for L5690?

Alaska, at $196.00, effective 2026-01-01.

Do managed-care plans pay the same rate for L5690?

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.