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Billing code L5657 · Equipment & supplies

L5657 Medicaid reimbursement rate by state (2026)

Addition to lower extremity prosthesis. Medicaid pays a median of $306.32 for L5657 across 5 states, from $1.09 in Arizona to $367.58 in Alaska.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$306.32units vary by state
Lowest
$1.09Arizona
Highest
$367.58Alaska
Answer

What does Medicaid pay for L5657?

5 state Medicaid programs publish a fee-for-service rate for L5657. The national median is $306.32 (units differ between states). Alaska pays the most, $367.58, and Arizona the least, $1.09 per day, a 337.2x spread.

State ranking

L5657 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-04-01$367.58——Not classified—
2Minnesota Source · since 2026-04-01$306.32——Plans negotiate; applies out of network—
3Montana Source · since 2026-04-01$306.32——Not classified—
See all 5 states for L5657 — start free

2 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.

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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 L5657 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L5657?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $306.32. Alaska pays the most ($367.58) and Arizona the least ($1.09 per day).

Which state pays the highest Medicaid rate for L5657?

Alaska, at $367.58, effective 2026-04-01.

Do managed-care plans pay the same rate for L5657?

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.