L5643 Medicaid reimbursement rate by state (2026)
Addition to lower extremity, hip disarticulation. Medicaid pays a median of $1,596.41 for L5643 across 49 states, from $428.30 in Florida to $2,925.76 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 49
- National median
- $1,596.41units vary by state
- Lowest
- $428.30Florida
- Highest
- $2,925.76North Dakota
What does Medicaid pay for L5643?
49 state Medicaid programs publish a fee-for-service rate for L5643 at the nurse midwife level. The national median is $1,596.41 (units differ between states). North Dakota pays the most, $2,925.76, and Florida the least, $428.30, a 6.8x spread.
L5643 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 L5643?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $1,596.41. North Dakota pays the most ($2,925.76) and Florida the least ($428.30).
Which state pays the highest Medicaid rate for L5643?
North Dakota, at $2,925.76, effective 2026-07-01.
Do managed-care plans pay the same rate for L5643?
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.