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L6883 Medicaid reimbursement rates by state

Replacement socket, below elbow/wrist disarticulation. 37 state Medicaid programs publish a fee-for-service rate for L6883 at the physician psychologist level. Rates run from $1,018.00 in Alabama to $2,446.07 in Minnesota, with a median of $1,674.00.

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

States publishing
37
Median rate
$1,674.00units vary by state
Highest
$2,446.07Minnesota
Medicare (non-facility)
—not on the physician fee schedule

L6883 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$2,446.07since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$2,398.11since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2,239.60since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$2,233.80since 2025-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2025-01-
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$2,167.57since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$2,098.18since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$2,026.19since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1,967.66since 2026-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1,942.73since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,885.53since 2021-07-01——Plans negotiate; applies out of network—HCA Prosthetics and orthotics fee schedu
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$1,835.77since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$1,830.92since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,813.22since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,810.09since 2026-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$1,764.97since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,763.16since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,704.09since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$1,683.10since 2010-07-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Prost
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$1,674.00since 2024-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$1,651.32since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,632.49since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$1,628.47since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$1,612.18since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1,599.07since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$1,569.55since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1,554.18since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$1,554.18since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1,534.26since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$1,501.56since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,464.24since 2012-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,331.63since 2018-09-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$1,261.14——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1,240.12since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,155.82since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$1,102.87since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$1,061.88since 2016-07-01——Plans negotiate; applies out of network—Orthotic and Prosthetic Fee Schedule - E
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$1,018.00since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L6883?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $1,674.00. Minnesota pays the most ($2,446.07) and Alabama the least ($1,018.00).

Which state pays the highest Medicaid rate for L6883?

Minnesota, at $2,446.07, effective 2026-01-01.

Do managed-care plans pay the same rate for L6883?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
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