L6965 Medicaid reimbursement rate by state (2026)
Shoulder disarticulation, external power. Medicaid pays a median of $14,874.52 for L6965 across 38 states, from $5,823.33 in Florida to $24,536.38 in North Dakota.
- States publishing
- 38
- National median
- $14,874.52units vary by state
- Lowest
- $5,823.33Florida
- Highest
- $24,536.38North Dakota
What does Medicaid pay for L6965?
38 state Medicaid programs publish a fee-for-service rate for L6965. The national median is $14,874.52 (units differ between states). North Dakota pays the most, $24,536.38, and Florida the least, $5,823.33, a 4.2x spread.
L6965 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.
Frequently asked questions
What does Medicaid pay for L6965?
It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $14,874.52. North Dakota pays the most ($24,536.38) and Florida the least ($5,823.33).
Which state pays the highest Medicaid rate for L6965?
North Dakota, at $24,536.38, effective 2026-07-01.
Do managed-care plans pay the same rate for L6965?
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.