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L5707 Medicaid reimbursement rate by state (2026)

Custom shaped protective cover, hip disarticulation. Medicaid pays a median of $1,312.39 for L5707 across 48 states, from $627.74 in California to $2,005.03 in Alaska.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
48
National median
$1,312.39units vary by state
Lowest
$627.74California
Highest
$2,005.03Alaska

What does Medicaid pay for L5707?

48 state Medicaid programs publish a fee-for-service rate for L5707 at the nurse midwife level. The national median is $1,312.39 (units differ between states). Alaska pays the most, $2,005.03, and California the least, $627.74, a 3.2x spread.

L5707 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$2,005.03——Not classified—
2North Dakota Source · since 2026-07-01$1,928.79——Not classified—
3Minnesota Source · since 2026-01-01$1,850.21——Plans negotiate; applies out of network—
24Oregon Source · since 2024-10-01$1,322.63——Plans negotiate; applies out of network—
25Virginia Source · since 2012-01-01$1,302.15——Plans negotiate; applies out of network—
26Washington Source · since 2021-07-01$1,297.83——Plans negotiate; applies out of network—
47Florida Source · since 2026-07-01$788.84——Plans negotiate; applies out of network—
48California Source · since 2026-10-01$627.74——Plans negotiate; applies out of network—
See all 48 states for L5707 — start free

40 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.

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 L5707 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L5707?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $1,312.39. Alaska pays the most ($2,005.03) and California the least ($627.74).

Which state pays the highest Medicaid rate for L5707?

Alaska, at $2,005.03, effective 2026-01-01.

Do managed-care plans pay the same rate for L5707?

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.