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L5668 Medicaid reimbursement rate by state (2026)

Addition to lower extremity, below knee. Medicaid pays a median of $104.06 for L5668 across 49 states, from $46.00 in Virginia to $236.73 in New Mexico.

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

States publishing
49
National median
$104.06units vary by state
Lowest
$46.00Virginia
Highest
$236.73New Mexico

What does Medicaid pay for L5668?

49 state Medicaid programs publish a fee-for-service rate for L5668 at the nurse midwife level. The national median is $104.06 (units differ between states). New Mexico pays the most, $236.73, and Virginia the least, $46.00, a 5.1x spread.

L5668 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$236.73——Plans must pay at least this—
2Alaska Source · since 2026-01-01$209.21——Not classified—
3Hawaii Source · since 2026-06-01$182.73——Plans negotiate; applies out of network—
24Oregon Source · since 2024-10-01$105.21——Plans negotiate; applies out of network—
25Michigan Source · since 2026-01-01$104.06——Plans negotiate; applies out of network—
26Washington Source · since 2021-07-01$103.24——Plans negotiate; applies out of network—
48Missouri Source · since 2019-07-01$56.67——Plans negotiate; applies out of network—
49Virginia Source · since 1990-01-01$46.00——Plans negotiate; applies out of network—
See all 49 states for L5668 — start free

41 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 L5668 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 L5668?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $104.06. New Mexico pays the most ($236.73) and Virginia the least ($46.00).

Which state pays the highest Medicaid rate for L5668?

New Mexico, at $236.73, effective 2025-01-01.

Do managed-care plans pay the same rate for L5668?

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.