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L6698 Medicaid reimbursement rate by state (2026)

Addition to upper extremity prosthesis, lock mechanism. Medicaid pays a median of $537.13 for L6698 across 48 states, from $179.28 in New York to $1,296.48 in Alaska.

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

States publishing
48
National median
$537.13units vary by state
Lowest
$179.28New York
Highest
$1,296.48Alaska

What does Medicaid pay for L6698?

48 state Medicaid programs publish a fee-for-service rate for L6698 at the nurse midwife level. The national median is $537.13 (units differ between states). Alaska pays the most, $1,296.48, and New York the least, $179.28, a 7.2x spread.

L6698 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
1Alaska Source · since 2026-01-01$1,296.48——Not classified—
2Hawaii Source · since 2026-06-01$953.37——Plans negotiate; applies out of network—
3Montana Source · since 2026-01-01$811.94——Not classified—
24Arkansas Source · since 2025-06-04$540.10——Not classified—
25Massachusetts Source · since 2026-07-01$534.16——Plans negotiate; applies out of network—
26New Hampshire Source · since 2024-07-01$524.73——Not classified—
47Connecticut Source · since 2013-03-01$362.29——Not classified—
48New York Source · since 2022-06-01$179.28——Plans negotiate; applies out of network—
See all 48 states for L6698 — 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 L6698 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 L6698?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $537.13. Alaska pays the most ($1,296.48) and New York the least ($179.28).

Which state pays the highest Medicaid rate for L6698?

Alaska, at $1,296.48, effective 2026-01-01.

Do managed-care plans pay the same rate for L6698?

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.