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Billing code L5697 · Equipment & supplies

L5697 Medicaid reimbursement rate by state (2026)

Addition to lower extremity. Medicaid pays a median of $82.16 for L5697 across 50 states, from $20.60 in Missouri to $177.85 in Alaska.

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

States publishing
50
National median
$82.16units vary by state
Lowest
$20.60Missouri
Highest
$177.85Alaska
Answer

What does Medicaid pay for L5697?

50 state Medicaid programs publish a fee-for-service rate for L5697. The national median is $82.16 (units differ between states). Alaska pays the most, $177.85, and Missouri the least, $20.60, a 8.6x spread.

State ranking

L5697 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$177.85——Not classified—
2Hawaii Source · since 2026-06-01$155.36——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$131.04——Not classified—
25District of Columbia Source · since 2026-04-01$82.74——Not classified—
26Colorado Source · since 2026-07-01$81.57——Plans negotiate; applies out of network—
27South Carolina Source · since 2024-07-01$79.40——Not classified—
49Iowa Source · since 2024-07-01$31.11——State sets the plan rate—
50Missouri Source · since 2019-07-01$20.60——Plans negotiate; applies out of network—
See all 50 states for L5697 — 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 L5697 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 L5697?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $82.16. Alaska pays the most ($177.85) and Missouri the least ($20.60).

Which state pays the highest Medicaid rate for L5697?

Alaska, at $177.85, effective 2026-01-01.

Do managed-care plans pay the same rate for L5697?

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.