L5420 Medicaid reimbursement rate by state (2026)
Immediate post surgical or early fitting. Medicaid pays a median of $1,504.00 for L5420 across 44 states, from $550.00 in Pennsylvania to $3,017.84 in Alaska.
- States publishing
- 44
- National median
- $1,504.00units vary by state
- Lowest
- $550.00Pennsylvania
- Highest
- $3,017.84Alaska
What does Medicaid pay for L5420?
44 state Medicaid programs publish a fee-for-service rate for L5420. The national median is $1,504.00 (units differ between states). Alaska pays the most, $3,017.84, and Pennsylvania the least, $550.00, a 5.5x spread.
L5420 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5420?
It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $1,504.00. Alaska pays the most ($3,017.84) and Pennsylvania the least ($550.00).
Which state pays the highest Medicaid rate for L5420?
Alaska, at $3,017.84, effective 2026-01-01.
Do managed-care plans pay the same rate for L5420?
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.