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L6450 Medicaid reimbursement rate by state (2026)

Elbow disarticulation, molded socket, endoskeletal system. Medicaid pays a median of $3,208.29 for L6450 across 49 states, from $1,440.35 in Iowa to $5,795.18 in North Dakota.

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

States publishing
49
National median
$3,208.29units vary by state
Lowest
$1,440.35Iowa
Highest
$5,795.18North Dakota

What does Medicaid pay for L6450?

49 state Medicaid programs publish a fee-for-service rate for L6450 at the nurse midwife level. The national median is $3,208.29 (units differ between states). North Dakota pays the most, $5,795.18, and Iowa the least, $1,440.35, a 4.0x spread.

L6450 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
1North Dakota Source · since 2026-07-01$5,795.18——Not classified—
2Alaska Source · since 2026-01-01$5,583.20——Not classified—
3Montana Source · since 2026-01-01$5,032.61——Not classified—
24Wyoming Source · since 2021-01-01$3,214.30——Not classified—
25Maryland Source · since 2026-01-01$3,208.29——Not classified—
26Rhode Island Source · since 2012-07-01$3,185.42——Plans negotiate; applies out of network—
48Pennsylvania Source · since 1989-01-01$1,627.20——Plans negotiate; applies out of network—
49Iowa Source · since 2024-07-01$1,440.35——State sets the plan rate—
See all 49 states for L6450 — 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.

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 L6450 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 L6450?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $3,208.29. North Dakota pays the most ($5,795.18) and Iowa the least ($1,440.35).

Which state pays the highest Medicaid rate for L6450?

North Dakota, at $5,795.18, effective 2026-07-01.

Do managed-care plans pay the same rate for L6450?

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.