L5974 Medicaid reimbursement rate by state (2026)
All lower extremity prostheses, foot, single axis ankle/foot. Medicaid pays a median of $239.67 for L5974 across 49 states, from $72.86 in Florida to $594.79 in Alaska.
- States publishing
- 49
- National median
- $239.67units vary by state
- Lowest
- $72.86Florida
- Highest
- $594.79Alaska
What does Medicaid pay for L5974?
49 state Medicaid programs publish a fee-for-service rate for L5974. The national median is $239.67 (units differ between states). Alaska pays the most, $594.79, and Florida the least, $72.86, a 8.2x spread.
L5974 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5974?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $239.67. Alaska pays the most ($594.79) and Florida the least ($72.86).
Which state pays the highest Medicaid rate for L5974?
Alaska, at $594.79, effective 2026-01-01.
Do managed-care plans pay the same rate for L5974?
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.