Skip to content

L6640 Medicaid reimbursement rate by state (2026)

Upper extremity additions, shoulder abduction joint, pair. Medicaid pays a median of $289.28 for L6640 across 49 states, from $109.69 in California to $432.91 in New Mexico.

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

States publishing
49
National median
$289.28units vary by state
Lowest
$109.69California
Highest
$432.91New Mexico

What does Medicaid pay for L6640?

49 state Medicaid programs publish a fee-for-service rate for L6640 at the nurse midwife level. The national median is $289.28 (units differ between states). New Mexico pays the most, $432.91, and California the least, $109.69, a 3.9x spread.

L6640 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
1New Mexico Source · since 2025-01-01$432.91——Plans must pay at least this—
2Minnesota Source · since 2026-01-01$414.58——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$413.20——Not classified—
24Maryland Source · since 2026-01-01$294.26——Not classified—
25Arkansas Source · since 2025-06-04$289.28——Not classified—
26Vermont Source · since 2026-01-01$287.45——Not classified—
48Pennsylvania Source · since 1989-01-01$122.04——Plans negotiate; applies out of network—
49California Source · since 2026-10-01$109.69——Plans negotiate; applies out of network—
See all 49 states for L6640 — 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 L6640 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 L6640?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $289.28. New Mexico pays the most ($432.91) and California the least ($109.69).

Which state pays the highest Medicaid rate for L6640?

New Mexico, at $432.91, effective 2025-01-01.

Do managed-care plans pay the same rate for L6640?

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.