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L5656 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, socket insert. Medicaid pays a median of $387.41 for L5656 across 50 states, from $71.11 in Iowa to $748.58 in Alaska.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
50
National median
$387.41units vary by state
Lowest
$71.11Iowa
Highest
$748.58Alaska

What does Medicaid pay for L5656?

50 state Medicaid programs publish a fee-for-service rate for L5656 at the nurse midwife level. The national median is $387.41 (units differ between states). Alaska pays the most, $748.58, and Iowa the least, $71.11, a 10.5x spread.

L5656 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 50 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$748.58——Not classified—
2Hawaii Source · since 2026-06-01$653.98——Plans negotiate; applies out of network—
3Virginia Source · since 1989-07-01$540.00——Plans negotiate; applies out of network—
25West Virginia Source · since 2026-04-01$387.41——Plans must pay at least this—
26District of Columbia Source · since 2026-04-01$387.41——Not classified—
27Vermont Source · since 2026-01-01$384.36——Not classified—
49California Source · since 2026-10-01$137.12——Plans negotiate; applies out of network—
50Iowa Source · since 2024-07-01$71.11——State sets the plan rate—
See all 50 states for L5656 — start free

42 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track L5656 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L5656?

It depends on the state. Of the 50 states with a published fee-for-service rate, the median is $387.41. Alaska pays the most ($748.58) and Iowa the least ($71.11).

Which state pays the highest Medicaid rate for L5656?

Alaska, at $748.58, effective 2026-01-01.

Do managed-care plans pay the same rate for L5656?

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.