L6038 Medicaid reimbursement rate by state (2026)
Addition to single prosthetic digit or thumb, mechanical. Medicaid pays a median of $369.71 for L6038 across 7 states, from $11.96 in Arizona to $3,876.80 in Colorado.
- States publishing
- 7
- National median
- $369.71units vary by state
- Lowest
- $11.96Arizona
- Highest
- $3,876.80Colorado
What does Medicaid pay for L6038?
7 state Medicaid programs publish a fee-for-service rate for L6038. The national median is $369.71 (units differ between states). Colorado pays the most, $3,876.80, and Arizona the least, $11.96 per day, a 324.1x spread.
L6038 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L6038?
It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $369.71. Colorado pays the most ($3,876.80) and Arizona the least ($11.96 per day).
Which state pays the highest Medicaid rate for L6038?
Colorado, at $3,876.80, effective 2026-07-01.
Do managed-care plans pay the same rate for L6038?
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.