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Billing code L5780 · Equipment & supplies

L5780 Medicaid reimbursement rate by state (2026)

Addition, exoskeletal knee-shin system, single axis. Medicaid pays a median of $1,125.89 for L5780 across 48 states, from $345.48 in California to $2,629.40 in Alaska.

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

States publishing
48
National median
$1,125.89units vary by state
Lowest
$345.48California
Highest
$2,629.40Alaska
Answer

What does Medicaid pay for L5780?

48 state Medicaid programs publish a fee-for-service rate for L5780. The national median is $1,125.89 (units differ between states). Alaska pays the most, $2,629.40, and California the least, $345.48, a 7.6x spread.

State ranking

L5780 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$2,629.40——Not classified—
2Hawaii Source · since 2026-06-01$2,297.07——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$1,634.07——Plans negotiate; applies out of network—
24Oklahoma Source · since 2026-01-01$1,130.46——Plans must pay at least this—
25Mississippi Source · since 2026-07-01$1,121.32——Plans must pay at least this—
26Ohio Source · since 2026-01-01$1,099.33——Plans negotiate; applies out of network—
47Pennsylvania Source · since 1985-01-26$555.00——Plans negotiate; applies out of network—
48California Source · since 2026-10-01$345.48——Plans negotiate; applies out of network—
See all 48 states for L5780 — 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 L5780 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 L5780?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $1,125.89. Alaska pays the most ($2,629.40) and California the least ($345.48).

Which state pays the highest Medicaid rate for L5780?

Alaska, at $2,629.40, effective 2026-01-01.

Do managed-care plans pay the same rate for L5780?

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.