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Billing code L5810 · Equipment & supplies

L5810 Medicaid reimbursement rate by state (2026)

Addition, endoskeletal knee-shin system, single axis. Medicaid pays a median of $481.54 for L5810 across 49 states, from $94.71 in Florida to $1,267.33 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$481.54units vary by state
Lowest
$94.71Florida
Highest
$1,267.33Alaska
Answer

What does Medicaid pay for L5810?

49 state Medicaid programs publish a fee-for-service rate for L5810. The national median is $481.54 (units differ between states). Alaska pays the most, $1,267.33, and Florida the least, $94.71, a 13.4x spread.

State ranking

L5810 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,267.33——Not classified—
2Hawaii Source · since 2026-06-01$1,107.17——Plans negotiate; applies out of network—
3Maine Source · since 2026-01-01$794.72——Not classified—
24West Virginia Source · since 2026-04-01$489.20——Plans must pay at least this—
25South Carolina Source · since 2024-07-01$481.54——Not classified—
26Kansas Source · since 2026-07-01$476.83——Plans must pay at least this—
48New York Source · since 2022-06-01$252.50——Plans negotiate; applies out of network—
49Florida Source · since 2026-07-01$94.71——Plans negotiate; applies out of network—
See all 49 states for L5810 — start free

41 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 L5810 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 L5810?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $481.54. Alaska pays the most ($1,267.33) and Florida the least ($94.71).

Which state pays the highest Medicaid rate for L5810?

Alaska, at $1,267.33, effective 2026-01-01.

Do managed-care plans pay the same rate for L5810?

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.