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L5701 Medicaid reimbursement rate by state (2026)

Replacement, socket, above knee/knee disarticulation. Medicaid pays a median of $3,462.40 for L5701 across 49 states, from $2,017.64 in California to $6,261.28 in Alaska.

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

States publishing
49
National median
$3,462.40units vary by state
Lowest
$2,017.64California
Highest
$6,261.28Alaska

What does Medicaid pay for L5701?

49 state Medicaid programs publish a fee-for-service rate for L5701 at the nurse midwife level. The national median is $3,462.40 (units differ between states). Alaska pays the most, $6,261.28, and California the least, $2,017.64, a 3.1x spread.

L5701 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
1Alaska Source · since 2026-01-01$6,261.28——Not classified—
2North Dakota Source · since 2026-07-01$5,196.83——Not classified—
3Hawaii Source · since 2026-06-01$5,115.42——Plans negotiate; applies out of network—
24Michigan Source · since 2026-01-01$3,467.42——Plans negotiate; applies out of network—
25Illinois Source · since 2022-04-20$3,462.40——Plans negotiate; applies out of network—
26South Carolina Source · since 2024-07-01$3,403.30——Not classified—
48Alabama Source · since 2026-05-27$2,207.58——Not classified—
49California Source · since 2026-10-01$2,017.64——Plans negotiate; applies out of network—
See all 49 states for L5701 — 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 L5701 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 L5701?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $3,462.40. Alaska pays the most ($6,261.28) and California the least ($2,017.64).

Which state pays the highest Medicaid rate for L5701?

Alaska, at $6,261.28, effective 2026-01-01.

Do managed-care plans pay the same rate for L5701?

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.