L5634 Medicaid reimbursement rate by state (2026)
Addition to lower extremity, symes type, posterior opening. Medicaid pays a median of $316.54 for L5634 across 49 states, from $73.81 in Iowa to $750.80 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 49
- National median
- $316.54units vary by state
- Lowest
- $73.81Iowa
- Highest
- $750.80Alaska
What does Medicaid pay for L5634?
49 state Medicaid programs publish a fee-for-service rate for L5634 at the nurse midwife level. The national median is $316.54 (units differ between states). Alaska pays the most, $750.80, and Iowa the least, $73.81, a 10.2x spread.
L5634 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5634?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $316.54. Alaska pays the most ($750.80) and Iowa the least ($73.81).
Which state pays the highest Medicaid rate for L5634?
Alaska, at $750.80, effective 2026-01-01.
Do managed-care plans pay the same rate for L5634?
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.