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L6026 Medicaid reimbursement rate by state (2026)

Transcarpal/metacarpal or partial hand disarticulation.... Medicaid pays a median of $4,499.94 for L6026 across 33 states, from $2,681.11 in Texas to $6,519.48 in Wisconsin.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
33
National median
$4,499.94units vary by state
Lowest
$2,681.11Texas
Highest
$6,519.48Wisconsin

What does Medicaid pay for L6026?

33 state Medicaid programs publish a fee-for-service rate for L6026 at the nurse midwife level. The national median is $4,499.94 (units differ between states). Wisconsin pays the most, $6,519.48, and Texas the least, $2,681.11, a 2.4x spread.

L6026 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Wisconsin Source · since 2015-01-01$6,519.48——Plans negotiate; applies out of network—
2Montana Source · since 2026-01-01$5,831.20——Not classified—
3New York Source · since 2022-06-01$5,817.79——Plans negotiate; applies out of network—
16Massachusetts Source · since 2026-07-01$4,543.03——Plans negotiate; applies out of network—
17New Mexico Source · since 2025-01-01$4,499.94——Plans must pay at least this—
18Virginia Source · since 2024-01-01$4,461.07——Plans must pay at least this—
32Louisiana Source · since 2015-01-01$3,217.33——Plans must pay at least this—
33Texas Source · since 2015-01-01$2,681.11——Plans negotiate; applies out of network—
See all 33 states for L6026 — start free

25 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.

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 L6026 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L6026?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $4,499.94. Wisconsin pays the most ($6,519.48) and Texas the least ($2,681.11).

Which state pays the highest Medicaid rate for L6026?

Wisconsin, at $6,519.48, effective 2015-01-01.

Do managed-care plans pay the same rate for L6026?

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.