L7520 Medicaid reimbursement rate by state (2026)
Repair prosthetic device, labor component, per 15 minutes. Medicaid pays a median of $26.38 for L7520 across 43 states, from $7.50 in Pennsylvania to $60.92 in Alaska.
- States publishing
- 43
- National median
- $26.38units vary by state
- Lowest
- $7.50Pennsylvania
- Highest
- $60.92Alaska
- Median per hour
- $112.9642 time-based states
What does Medicaid pay for L7520?
43 state Medicaid programs publish a fee-for-service rate for L7520. The national median is $26.38 (units differ between states). Alaska pays the most, $60.92 per 15 min, and Pennsylvania the least, $7.50 per 15 min, a 8.1x spread. Converted to an hour of service in the 42 states that bill it by time, the median is $112.96 per hour.
L7520 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 43 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L7520?
It depends on the state. Of the 43 states with a published fee-for-service rate, the median is $26.38. Alaska pays the most ($60.92 per 15 min) and Pennsylvania the least ($7.50 per 15 min).
Which state pays the highest Medicaid rate for L7520?
Alaska, at $60.92 per 15 min ($243.68 per hour), effective 2026-01-01.
Do managed-care plans pay the same rate for L7520?
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.