Skip to content
MedicaidRate
Start free trial
Sign inStart free trial
Billing code L5814 · Equipment & supplies

L5814 Medicaid reimbursement rate by state (2026)

Addition, endoskeletal knee-shin system, polycentric. Medicaid pays a median of $3,440.58 for L5814 across 48 states, from $1,622.66 in California to $5,323.97 in North Dakota.

Data as of Oct 5, 202648 statesEvery rate links to its official source

Compare L5814 in all 48 statesAll billing codes
States publishing
48
National median
$3,440.58units vary by state
Lowest
$1,622.66California
Highest
$5,323.97North Dakota
Answer

What does Medicaid pay for L5814?

48 state Medicaid programs publish a fee-for-service rate for L5814. The national median is $3,440.58 (units differ between states). North Dakota pays the most, $5,323.97, and California the least, $1,622.66, a 3.3x spread.

State ranking

L5814 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
1North Dakota Source · since 2026-07-01$5,323.97——Not classified—
2Hawaii Source · since 2026-06-01$4,726.06——Plans negotiate; applies out of network—
3Montana Source · since 2026-01-01$4,623.26——Not classified—
24Nevada Source · since 2017-01-01$3,462.42——Plans negotiate; applies out of network—
25Oregon Source · since 2024-10-01$3,418.73——Plans negotiate; applies out of network—
26Texas Source · since 2010-07-01$3,387.27——Plans negotiate; applies out of network—
47Ohio Source · since 2010-01-01$2,377.43Each—Plans negotiate; applies out of network—
48California Source · since 2026-10-01$1,622.66——Plans negotiate; applies out of network—
See all 48 states for L5814 — 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.

  • Source for every rate
  • Full rate history
  • CSV and API export
Start free trial

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 L5814 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
Start free trial
FAQ

Frequently asked questions

What does Medicaid pay for L5814?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $3,440.58. North Dakota pays the most ($5,323.97) and California the least ($1,622.66).

Which state pays the highest Medicaid rate for L5814?

North Dakota, at $5,323.97, effective 2026-07-01.

Do managed-care plans pay the same rate for L5814?

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.

Keep exploring

Related codes and states

Codes next to L5814

Most-published Equipment & supplies codes

Highest-paying states