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L6925 Medicaid reimbursement rate by state (2026)

Wrist disarticulation, external power. Medicaid pays a median of $8,122.42 for L6925 across 38 states, from $3,434.67 in Florida to $12,625.20 in Alaska.

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

States publishing
38
National median
$8,122.42units vary by state
Lowest
$3,434.67Florida
Highest
$12,625.20Alaska

What does Medicaid pay for L6925?

38 state Medicaid programs publish a fee-for-service rate for L6925 at the nurse midwife level. The national median is $8,122.42 (units differ between states). Alaska pays the most, $12,625.20, and Florida the least, $3,434.67, a 3.7x spread.

L6925 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
1Alaska Source · since 2026-01-01$12,625.20——Not classified—
2North Dakota Source · since 2026-07-01$12,335.90——Not classified—
3Hawaii Source · since 2026-06-01$11,029.60——Plans negotiate; applies out of network—
19Michigan Source · since 2026-01-01$8,154.70——Plans negotiate; applies out of network—
20Kansas Source · since 2026-07-01$8,090.14——Plans must pay at least this—
21Washington Source · since 2021-07-01$7,830.19——Plans negotiate; applies out of network—
37California Source · since 2026-10-01$3,830.58——Plans negotiate; applies out of network—
38Florida Source · since 2026-07-01$3,434.67——Plans negotiate; applies out of network—
See all 38 states for L6925 — 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.

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 L6925 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 L6925?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $8,122.42. Alaska pays the most ($12,625.20) and Florida the least ($3,434.67).

Which state pays the highest Medicaid rate for L6925?

Alaska, at $12,625.20, effective 2026-01-01.

Do managed-care plans pay the same rate for L6925?

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.