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Billing code L6935 · Equipment & supplies

L6935 Medicaid reimbursement rate by state (2026)

Below elbow, external power, self-suspended inner socket. Medicaid pays a median of $8,257.86 for L6935 across 40 states, from $4,121.60 in Florida to $12,902.05 in North Dakota.

Data as of Oct 5, 202640 statesEvery rate links to its official source

States publishing
40
National median
$8,257.86units vary by state
Lowest
$4,121.60Florida
Highest
$12,902.05North Dakota
Answer

What does Medicaid pay for L6935?

40 state Medicaid programs publish a fee-for-service rate for L6935. The national median is $8,257.86 (units differ between states). North Dakota pays the most, $12,902.05, and Florida the least, $4,121.60, a 3.1x spread.

State ranking

L6935 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$12,902.05——Not classified—
2Alaska Source · since 2026-01-01$11,872.00——Not classified—
3Montana Source · since 2026-01-01$11,203.37——Not classified—
20Arizona Source · since 2026-10-01$8,266.61——Plans negotiate; applies out of network—
21Kansas Source · since 2026-07-01$8,249.10——Plans must pay at least this—
22Washington Source · since 2021-07-01$8,209.91——Plans negotiate; applies out of network—
39California Source · since 2026-10-01$4,188.31——Plans negotiate; applies out of network—
40Florida Source · since 2026-07-01$4,121.60——Plans negotiate; applies out of network—
See all 40 states for L6935 — start free

32 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 L6935 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 L6935?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $8,257.86. North Dakota pays the most ($12,902.05) and Florida the least ($4,121.60).

Which state pays the highest Medicaid rate for L6935?

North Dakota, at $12,902.05, effective 2026-07-01.

Do managed-care plans pay the same rate for L6935?

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.