L5980 Medicaid reimbursement rate by state (2026)
All lower extremity prostheses, flex foot system. Medicaid pays a median of $3,794.22 for L5980 across 48 states, from $1,878.25 in California to $6,514.85 in Alaska.
- States publishing
- 48
- National median
- $3,794.22units vary by state
- Lowest
- $1,878.25California
- Highest
- $6,514.85Alaska
What does Medicaid pay for L5980?
48 state Medicaid programs publish a fee-for-service rate for L5980. The national median is $3,794.22 (units differ between states). Alaska pays the most, $6,514.85, and California the least, $1,878.25, a 3.5x spread.
L5980 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5980?
It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $3,794.22. Alaska pays the most ($6,514.85) and California the least ($1,878.25).
Which state pays the highest Medicaid rate for L5980?
Alaska, at $6,514.85, effective 2026-01-01.
Do managed-care plans pay the same rate for L5980?
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.