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L5783 Medicaid reimbursement rates by state

Addition to lower extremity, user adjustable, mechanical. 28 state Medicaid programs publish a fee-for-service rate for L5783. Rates run from $2,047.55 in Florida to $3,150.07 in Minnesota, with a median of $2,695.95.

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

States publishing
28
Median rate
$2,695.95units vary by state
Highest
$3,150.07Minnesota
Medicare (non-facility)
—not on the physician fee schedule

L5783 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$3,150.07since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$3,150.07since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$3,150.07since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$3,150.07since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$3,088.30since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$3,088.30since 2024-04-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$3,088.30since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$3,053.93since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$3,015.92since 2024-04-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$2,932.40since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$2,835.06since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$2,834.96since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$2,721.66since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$2,714.33since 2024-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$2,677.56since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$2,640.50since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$2,564.00since 2024-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$2,520.06since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$2,520.06since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$2,442.90since 2024-04-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$2,442.89since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$2,415.00since 2024-04-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$2,412.74since 2025-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$2,412.74since 2024-04-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$2,254.34since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$2,205.05since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$2,205.05since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$2,047.55since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L5783?

It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $2,695.95. Minnesota pays the most ($3,150.07) and Florida the least ($2,047.55).

Which state pays the highest Medicaid rate for L5783?

Minnesota, at $3,150.07, effective 2026-01-01.

Do managed-care plans pay the same rate for L5783?

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 table shows the rule for each state, cited to the contract or statute.

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