L6895 Medicaid reimbursement rate by state (2026)
Addition to upper extremity prosthesis. Medicaid pays a median of $591.34 for L6895 across 46 states, from $170.00 in Pennsylvania to $911.47 in Maine.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 46
- National median
- $591.34units vary by state
- Lowest
- $170.00Pennsylvania
- Highest
- $911.47Maine
What does Medicaid pay for L6895?
46 state Medicaid programs publish a fee-for-service rate for L6895 at the nurse midwife level. The national median is $591.34 (units differ between states). Maine pays the most, $911.47, and Pennsylvania the least, $170.00, a 5.4x spread.
L6895 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L6895?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $591.34. Maine pays the most ($911.47) and Pennsylvania the least ($170.00).
Which state pays the highest Medicaid rate for L6895?
Maine, at $911.47, effective 2026-01-01.
Do managed-care plans pay the same rate for L6895?
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.