L5638 Medicaid reimbursement rate by state (2026)
Addition to lower extremity, below knee, leather socket. Medicaid pays a median of $506.42 for L5638 across 47 states, from $92.27 in Iowa to $1,053.34 in Alaska.
- States publishing
- 47
- National median
- $506.42units vary by state
- Lowest
- $92.27Iowa
- Highest
- $1,053.34Alaska
What does Medicaid pay for L5638?
47 state Medicaid programs publish a fee-for-service rate for L5638. The national median is $506.42 (units differ between states). Alaska pays the most, $1,053.34, and Iowa the least, $92.27, a 11.4x spread.
L5638 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5638?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $506.42. Alaska pays the most ($1,053.34) and Iowa the least ($92.27).
Which state pays the highest Medicaid rate for L5638?
Alaska, at $1,053.34, effective 2026-01-01.
Do managed-care plans pay the same rate for L5638?
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.