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L6584 Medicaid reimbursement rate by state (2026)

Preparatory, elbow disarticulation or above elbow. Medicaid pays a median of $2,121.97 for L6584 across 47 states, from $1,134.00 in Alabama to $3,335.39 in Alaska.

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

States publishing
47
National median
$2,121.97units vary by state
Lowest
$1,134.00Alabama
Highest
$3,335.39Alaska

What does Medicaid pay for L6584?

47 state Medicaid programs publish a fee-for-service rate for L6584 at the nurse midwife level. The national median is $2,121.97 (units differ between states). Alaska pays the most, $3,335.39, and Alabama the least, $1,134.00, a 2.9x spread.

L6584 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$3,335.39——Not classified—
2Minnesota Source · since 2026-01-01$3,091.67——Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$3,031.05unit—Plans must pay at least this—
23Nebraska Source · since 2026-07-01$2,181.60——Plans negotiate; applies out of network—
24Nevada Source · since 2017-01-01$2,121.97——Plans negotiate; applies out of network—
25Wisconsin Source · since 2008-07-01$2,045.51——Plans negotiate; applies out of network—
46California Source · since 2026-10-01$1,163.31——Plans negotiate; applies out of network—
47Alabama Source · since 2026-05-20$1,134.00——Not classified—
See all 47 states for L6584 — start free

39 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 L6584 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 L6584?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $2,121.97. Alaska pays the most ($3,335.39) and Alabama the least ($1,134.00).

Which state pays the highest Medicaid rate for L6584?

Alaska, at $3,335.39, effective 2026-01-01.

Do managed-care plans pay the same rate for L6584?

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.