L5970 Medicaid reimbursement rate by state (2026)
All lower extremity prostheses, foot, external keel. Medicaid pays a median of $203.12 for L5970 across 50 states, from $52.04 in Florida to $391.20 in Alaska.
- States publishing
- 50
- National median
- $203.12units vary by state
- Lowest
- $52.04Florida
- Highest
- $391.20Alaska
What does Medicaid pay for L5970?
50 state Medicaid programs publish a fee-for-service rate for L5970. The national median is $203.12 (units differ between states). Alaska pays the most, $391.20, and Florida the least, $52.04, a 7.5x spread.
L5970 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5970?
It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $203.12. Alaska pays the most ($391.20) and Florida the least ($52.04).
Which state pays the highest Medicaid rate for L5970?
Alaska, at $391.20, effective 2026-01-01.
Do managed-care plans pay the same rate for L5970?
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.