L5950 Medicaid reimbursement rate by state (2026)
Addition, endoskeletal system, above knee. Medicaid pays a median of $775.80 for L5950 across 49 states, from $453.71 in California to $1,245.07 in New Mexico.
- States publishing
- 49
- National median
- $775.80units vary by state
- Lowest
- $453.71California
- Highest
- $1,245.07New Mexico
What does Medicaid pay for L5950?
49 state Medicaid programs publish a fee-for-service rate for L5950. The national median is $775.80 (units differ between states). New Mexico pays the most, $1,245.07, and California the least, $453.71, a 2.7x spread.
L5950 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.
Frequently asked questions
What does Medicaid pay for L5950?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $775.80. New Mexico pays the most ($1,245.07) and California the least ($453.71).
Which state pays the highest Medicaid rate for L5950?
New Mexico, at $1,245.07, effective 2025-01-01.
Do managed-care plans pay the same rate for L5950?
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.