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Billing code L5962 · Equipment & supplies

L5962 Medicaid reimbursement rate by state (2026)

Addition, endoskeletal system, below knee. Medicaid pays a median of $611.66 for L5962 across 47 states, from $348.79 in California to $1,068.79 in Alaska.

Data as of Oct 5, 202647 statesEvery rate links to its official source

States publishing
47
National median
$611.66units vary by state
Lowest
$348.79California
Highest
$1,068.79Alaska
Answer

What does Medicaid pay for L5962?

47 state Medicaid programs publish a fee-for-service rate for L5962. The national median is $611.66 (units differ between states). Alaska pays the most, $1,068.79, and California the least, $348.79, a 3.1x spread.

State ranking

L5962 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,068.79——Not classified—
2Montana Source · since 2026-01-01$916.71——Not classified—
3Hawaii Source · since 2026-06-01$873.20——Plans negotiate; applies out of network—
23Iowa Source · since 2025-07-01$617.12——State sets the plan rate—
24Maryland Source · since 2026-01-01$611.66——Not classified—
25Vermont Source · since 2026-01-01$603.19——Not classified—
46Ohio Source · since 2010-01-01$374.10Each—Plans negotiate; applies out of network—
47California Source · since 2026-10-01$348.79——Plans negotiate; applies out of network—
See all 47 states for L5962 — start free

39 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.

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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 L5962 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L5962?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $611.66. Alaska pays the most ($1,068.79) and California the least ($348.79).

Which state pays the highest Medicaid rate for L5962?

Alaska, at $1,068.79, effective 2026-01-01.

Do managed-care plans pay the same rate for L5962?

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.