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Billing code L6920 · Equipment & supplies

L6920 Medicaid reimbursement rate by state (2026)

Wrist disarticulation, external power. Medicaid pays a median of $7,256.70 for L6920 across 38 states, from $1,417.00 in Alabama to $11,437.41 in North Dakota.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$7,256.70units vary by state
Lowest
$1,417.00Alabama
Highest
$11,437.41North Dakota
Answer

What does Medicaid pay for L6920?

38 state Medicaid programs publish a fee-for-service rate for L6920. The national median is $7,256.70 (units differ between states). North Dakota pays the most, $11,437.41, and Alabama the least, $1,417.00, a 8.1x spread.

State ranking

L6920 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$11,437.41——Not classified—
2Alaska Source · since 2026-01-01$11,076.98——Not classified—
3Minnesota Source · since 2026-01-01$10,315.01——Plans negotiate; applies out of network—
19Kansas Source · since 2026-07-01$7,353.66——Plans must pay at least this—
20Washington Source · since 2021-07-01$7,159.73——Plans negotiate; applies out of network—
21Virginia Source · since 2012-01-01$7,112.49——Plans negotiate; applies out of network—
37Florida Source · since 2026-07-01$2,706.11——Plans negotiate; applies out of network—
38Alabama Source · since 2026-05-20$1,417.00——Not classified—
See all 38 states for L6920 — start free

30 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.

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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 L6920 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L6920?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $7,256.70. North Dakota pays the most ($11,437.41) and Alabama the least ($1,417.00).

Which state pays the highest Medicaid rate for L6920?

North Dakota, at $11,437.41, effective 2026-07-01.

Do managed-care plans pay the same rate for L6920?

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.