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L6647 Medicaid reimbursement rate by state (2026)

Upper extremity addition, shoulder lock mechanism. Medicaid pays a median of $493.04 for L6647 across 42 states, from $327.03 in California to $748.85 in Alaska.

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

States publishing
42
National median
$493.04units vary by state
Lowest
$327.03California
Highest
$748.85Alaska

What does Medicaid pay for L6647?

42 state Medicaid programs publish a fee-for-service rate for L6647 at the nurse midwife level. The national median is $493.04 (units differ between states). Alaska pays the most, $748.85, and California the least, $327.03, a 2.3x spread.

L6647 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$748.85——Not classified—
2Montana Source · since 2026-01-01$646.44——Not classified—
3Minnesota Source · since 2026-01-01$639.39——Plans negotiate; applies out of network—
21Arkansas Source · since 2025-06-04$496.63——Not classified—
22Ohio Source · since 2026-01-01$489.44——Plans negotiate; applies out of network—
23Nevada Source · since 2017-01-01$484.07——Plans negotiate; applies out of network—
41Alabama Source · since 2026-05-20$336.87——Not classified—
42California Source · since 2026-10-01$327.03——Plans negotiate; applies out of network—
See all 42 states for L6647 — start free

34 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 L6647 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 L6647?

It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $493.04. Alaska pays the most ($748.85) and California the least ($327.03).

Which state pays the highest Medicaid rate for L6647?

Alaska, at $748.85, effective 2026-01-01.

Do managed-care plans pay the same rate for L6647?

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.