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L6623 Medicaid reimbursement rate by state (2026)

Upper extremity addition. Medicaid pays a median of $660.27 for L6623 across 48 states, from $231.97 in Wisconsin to $903.73 in North Dakota.

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

States publishing
48
National median
$660.27units vary by state
Lowest
$231.97Wisconsin
Highest
$903.73North Dakota

What does Medicaid pay for L6623?

48 state Medicaid programs publish a fee-for-service rate for L6623 at the nurse midwife level. The national median is $660.27 (units differ between states). North Dakota pays the most, $903.73, and Wisconsin the least, $231.97, a 3.9x spread.

L6623 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$903.73——Not classified—
2Delaware Source · since 2026-01-01$902.89——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$878.53——Plans negotiate; applies out of network—
24Washington Source · since 2021-07-01$662.58——Plans negotiate; applies out of network—
25Arizona Source · since 2026-10-01$657.95——Plans negotiate; applies out of network—
26Kentucky Source · since 2020-01-01$654.24——State sets the plan rate—
47California Source · since 2026-10-01$247.89——Plans negotiate; applies out of network—
48Wisconsin Source · since 2008-07-01$231.97——Plans negotiate; applies out of network—
See all 48 states for L6623 — start free

40 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 L6623 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 L6623?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $660.27. North Dakota pays the most ($903.73) and Wisconsin the least ($231.97).

Which state pays the highest Medicaid rate for L6623?

North Dakota, at $903.73, effective 2026-07-01.

Do managed-care plans pay the same rate for L6623?

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.