L5925 Medicaid reimbursement rate by state (2026)
Addition, endoskeletal system, above knee. Medicaid pays a median of $383.94 for L5925 across 47 states, from $101.00 in New York to $676.10 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 47
- National median
- $383.94units vary by state
- Lowest
- $101.00New York
- Highest
- $676.10Alaska
What does Medicaid pay for L5925?
47 state Medicaid programs publish a fee-for-service rate for L5925 at the nurse midwife level. The national median is $383.94 (units differ between states). Alaska pays the most, $676.10, and New York the least, $101.00, a 6.7x spread.
L5925 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5925?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $383.94. Alaska pays the most ($676.10) and New York the least ($101.00).
Which state pays the highest Medicaid rate for L5925?
Alaska, at $676.10, effective 2026-01-01.
Do managed-care plans pay the same rate for L5925?
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.