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Billing code L6975 · Equipment & supplies

L6975 Medicaid reimbursement rate by state (2026)

Interscapular-thoracic, external power, molded inner socket. Medicaid pays a median of $16,315.30 for L6975 across 37 states, from $7,280.47 in Florida to $27,366.97 in Alaska.

Data as of Oct 5, 202637 statesEvery rate links to its official source

States publishing
37
National median
$16,315.30units vary by state
Lowest
$7,280.47Florida
Highest
$27,366.97Alaska
Answer

What does Medicaid pay for L6975?

37 state Medicaid programs publish a fee-for-service rate for L6975. The national median is $16,315.30 (units differ between states). Alaska pays the most, $27,366.97, and Florida the least, $7,280.47, a 3.8x spread.

State ranking

L6975 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$27,366.97——Not classified—
2Hawaii Source · since 2026-06-01$23,908.24——Plans negotiate; applies out of network—
3New Mexico Source · since 2025-01-01$23,177.19——Plans must pay at least this—
18Utah Source · since 2026-07-01$16,536.21——Plans negotiate; applies out of network—
19Virginia Source · since 2012-01-01$16,315.30——Plans negotiate; applies out of network—
20Michigan Source · since 2026-01-01$16,157.32——Plans negotiate; applies out of network—
36California Source · since 2026-10-01$8,050.00——Plans negotiate; applies out of network—
37Florida Source · since 2026-07-01$7,280.47——Plans negotiate; applies out of network—
See all 37 states for L6975 — start free

29 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 L6975 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 L6975?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $16,315.30. Alaska pays the most ($27,366.97) and Florida the least ($7,280.47).

Which state pays the highest Medicaid rate for L6975?

Alaska, at $27,366.97, effective 2026-01-01.

Do managed-care plans pay the same rate for L6975?

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.