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Billing code L5728 · Equipment & supplies

L5728 Medicaid reimbursement rate by state (2026)

Addition, exoskeletal knee-shin system, single axis. Medicaid pays a median of $2,418.46 for L5728 across 48 states, from $1,125.26 in California to $5,269.44 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$2,418.46units vary by state
Lowest
$1,125.26California
Highest
$5,269.44Alaska
Answer

What does Medicaid pay for L5728?

48 state Medicaid programs publish a fee-for-service rate for L5728. The national median is $2,418.46 (units differ between states). Alaska pays the most, $5,269.44, and California the least, $1,125.26, a 4.7x spread.

State ranking

L5728 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Alaska Source · since 2026-01-01$5,269.44——Not classified—
2Hawaii Source · since 2026-06-01$4,603.47——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$4,038.71——Not classified—
24West Virginia Source · since 2026-04-01$2,418.46——Plans must pay at least this—
25District of Columbia Source · since 2026-04-01$2,418.46——Not classified—
26Washington Source · since 2021-07-01$2,380.23——Plans negotiate; applies out of network—
47Florida Source · since 2026-07-01$1,149.05——Plans negotiate; applies out of network—
48California Source · since 2026-10-01$1,125.26——Plans negotiate; applies out of network—
See all 48 states for L5728 — start free

40 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 L5728 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 L5728?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $2,418.46. Alaska pays the most ($5,269.44) and California the least ($1,125.26).

Which state pays the highest Medicaid rate for L5728?

Alaska, at $5,269.44, effective 2026-01-01.

Do managed-care plans pay the same rate for L5728?

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.