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Billing code L6621 · Equipment & supplies

L6621 Medicaid reimbursement rate by state (2026)

Upper extremity prosthesis addition. Medicaid pays a median of $2,187.66 for L6621 across 39 states, from $142.42 in Iowa to $3,298.78 in Alaska.

Data as of Oct 5, 202639 statesEvery rate links to its official source

States publishing
39
National median
$2,187.66units vary by state
Lowest
$142.42Iowa
Highest
$3,298.78Alaska
Answer

What does Medicaid pay for L6621?

39 state Medicaid programs publish a fee-for-service rate for L6621. The national median is $2,187.66 (units differ between states). Alaska pays the most, $3,298.78, and Iowa the least, $142.42, a 23.2x spread.

State ranking

L6621 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$3,298.78——Not classified—
2Montana Source · since 2026-01-01$2,847.38——Not classified—
3Minnesota Source · since 2026-01-01$2,816.50——Plans negotiate; applies out of network—
19West Virginia Source · since 2026-04-01$2,199.18——Plans must pay at least this—
20Arkansas Source · since 2025-06-04$2,187.66——Not classified—
21Colorado Source · since 2026-07-01$2,169.03——Plans negotiate; applies out of network—
38Wisconsin Source · since 2008-07-01$169.76——Plans negotiate; applies out of network—
39Iowa Source · since 2018-09-01$142.42——Plans must pay at least this—
See all 39 states for L6621 — start free

31 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 L6621 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 L6621?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $2,187.66. Alaska pays the most ($3,298.78) and Iowa the least ($142.42).

Which state pays the highest Medicaid rate for L6621?

Alaska, at $3,298.78, effective 2026-01-01.

Do managed-care plans pay the same rate for L6621?

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.