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L6029 Medicaid reimbursement rates by state

Upper extremity addition, test socket/interface. 8 state Medicaid programs publish a fee-for-service rate for L6029. Rates run from $0.00 in Arkansas to $506.82 in Alaska, with a median of $318.76.

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

States publishing
8
Median rate
$318.76units vary by state
Highest
$506.82Alaska
Medicare (non-facility)
—not on the physician fee schedule

L6029 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$506.82since 2026-04-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$378.71since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$378.71since 2026-04-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$336.70since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$300.81since 2026-04-01——Not classified—Montana Healthcare Programs fee schedule
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$278.46since 2025-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Ortho
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$241.43since 2026-04-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L6029?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $318.76. Alaska pays the most ($506.82) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for L6029?

Alaska, at $506.82, effective 2026-04-01.

Do managed-care plans pay the same rate for L6029?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

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