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Billing code L5986 · Equipment & supplies

L5986 Medicaid reimbursement rate by state (2026)

All lower extremity prostheses, multi-axial rotation unit. Medicaid pays a median of $662.92 for L5986 across 49 states, from $262.28 in Florida to $1,543.28 in Alaska.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$662.92units vary by state
Lowest
$262.28Florida
Highest
$1,543.28Alaska
Answer

What does Medicaid pay for L5986?

49 state Medicaid programs publish a fee-for-service rate for L5986. The national median is $662.92 (units differ between states). Alaska pays the most, $1,543.28, and Florida the least, $262.28, a 5.9x spread.

State ranking

L5986 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$1,543.28——Not classified—
2Hawaii Source · since 2026-06-01$1,348.29——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$1,190.32——Not classified—
24Vermont Source · since 2026-01-01$665.66——Not classified—
25Maryland Source · since 2026-01-01$662.92——Not classified—
26Wyoming Source · since 2021-01-01$660.65——Not classified—
48California Source · since 2026-10-01$376.03——Plans negotiate; applies out of network—
49Florida Source · since 2026-07-01$262.28——Plans negotiate; applies out of network—
See all 49 states for L5986 — start free

41 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 L5986 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 L5986?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $662.92. Alaska pays the most ($1,543.28) and Florida the least ($262.28).

Which state pays the highest Medicaid rate for L5986?

Alaska, at $1,543.28, effective 2026-01-01.

Do managed-care plans pay the same rate for L5986?

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.