L5926 Medicaid reimbursement rate by state (2026)
Addition to lower extremity prosthesis, endoskeletal. Medicaid pays a median of $734.34 for L5926 across 28 states, from $415.00 in Ohio to $1,150.75 in Hawaii.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 28
- National median
- $734.34units vary by state
- Lowest
- $415.00Ohio
- Highest
- $1,150.75Hawaii
What does Medicaid pay for L5926?
28 state Medicaid programs publish a fee-for-service rate for L5926. The national median is $734.34 (units differ between states). Hawaii pays the most, $1,150.75, and Ohio the least, $415.00 per Each, a 2.8x spread.
L5926 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 28 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5926?
It depends on the state. Of the 28 states with a published fee-for-service rate, the median is $734.34. Hawaii pays the most ($1,150.75) and Ohio the least ($415.00 per Each).
Which state pays the highest Medicaid rate for L5926?
Hawaii, at $1,150.75, effective 2026-06-01.
Do managed-care plans pay the same rate for L5926?
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.