L5830 Medicaid reimbursement rate by state (2026)
Addition, endoskeletal knee-shin system, single axis. Medicaid pays a median of $1,896.70 for L5830 across 48 states, from $547.00 in Alabama to $4,719.50 in Alaska.
- States publishing
- 48
- National median
- $1,896.70units vary by state
- Lowest
- $547.00Alabama
- Highest
- $4,719.50Alaska
What does Medicaid pay for L5830?
48 state Medicaid programs publish a fee-for-service rate for L5830. The national median is $1,896.70 (units differ between states). Alaska pays the most, $4,719.50, and Alabama the least, $547.00, a 8.6x spread.
L5830 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.
Frequently asked questions
What does Medicaid pay for L5830?
It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $1,896.70. Alaska pays the most ($4,719.50) and Alabama the least ($547.00).
Which state pays the highest Medicaid rate for L5830?
Alaska, at $4,719.50, effective 2026-01-01.
Do managed-care plans pay the same rate for L5830?
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.