L5859 Medicaid reimbursement rate by state (2026)
Addition to lower extremity prosthesis. Medicaid pays a median of $14,932.72 for L5859 across 24 states, from $10,371.71 in Alabama to $20,925.48 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 24
- National median
- $14,932.72units vary by state
- Lowest
- $10,371.71Alabama
- Highest
- $20,925.48Alaska
What does Medicaid pay for L5859?
24 state Medicaid programs publish a fee-for-service rate for L5859. The national median is $14,932.72 (units differ between states). Alaska pays the most, $20,925.48, and Alabama the least, $10,371.71, a 2.0x spread.
L5859 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 24 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5859?
It depends on the state. Of the 24 states with a published fee-for-service rate, the median is $14,932.72. Alaska pays the most ($20,925.48) and Alabama the least ($10,371.71).
Which state pays the highest Medicaid rate for L5859?
Alaska, at $20,925.48, effective 2026-01-01.
Do managed-care plans pay the same rate for L5859?
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.