L5968 Medicaid reimbursement rate by state (2026)
Addition to lower limb prosthesis. Medicaid pays a median of $3,387.88 for L5968 across 45 states, from $1,623.84 in California to $6,460.34 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 45
- National median
- $3,387.88units vary by state
- Lowest
- $1,623.84California
- Highest
- $6,460.34New Mexico
What does Medicaid pay for L5968?
45 state Medicaid programs publish a fee-for-service rate for L5968 at the nurse midwife level. The national median is $3,387.88 (units differ between states). New Mexico pays the most, $6,460.34, and California the least, $1,623.84, a 4.0x spread.
L5968 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L5968?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $3,387.88. New Mexico pays the most ($6,460.34) and California the least ($1,623.84).
Which state pays the highest Medicaid rate for L5968?
New Mexico, at $6,460.34, effective 2025-01-01.
Do managed-care plans pay the same rate for L5968?
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.