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L6650 Medicaid reimbursement rate by state (2026)

Upper extremity addition, shoulder universal joint, each. Medicaid pays a median of $332.22 for L6650 across 49 states, from $145.71 in California to $698.10 in Alaska.

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

States publishing
49
National median
$332.22units vary by state
Lowest
$145.71California
Highest
$698.10Alaska

What does Medicaid pay for L6650?

49 state Medicaid programs publish a fee-for-service rate for L6650 at the nurse midwife level. The national median is $332.22 (units differ between states). Alaska pays the most, $698.10, and California the least, $145.71, a 4.8x spread.

L6650 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
1Alaska Source · since 2026-01-01$698.10——Not classified—
2Hawaii Source · since 2026-06-01$609.84——Plans negotiate; applies out of network—
3New Mexico Source · since 2025-01-01$507.58——Plans must pay at least this—
24Arkansas Source · since 2025-06-04$339.16——Not classified—
25New Jersey Source · since 2026-07-01$332.22——Not classified—
26Kansas Source · since 2026-07-01$331.51——Plans must pay at least this—
48Wisconsin Source · since 2008-07-01$158.19——Plans negotiate; applies out of network—
49California Source · since 2026-10-01$145.71——Plans negotiate; applies out of network—
See all 49 states for L6650 — 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 L6650 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 L6650?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $332.22. Alaska pays the most ($698.10) and California the least ($145.71).

Which state pays the highest Medicaid rate for L6650?

Alaska, at $698.10, effective 2026-01-01.

Do managed-care plans pay the same rate for L6650?

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.