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Billing code L6035 · Equipment & supplies

L6035 Medicaid reimbursement rate by state (2026)

Single prosthetic digit, mechanical. Medicaid pays a median of $1,649.52 for L6035 across 6 states, from $5.23 in Arizona to $3,056.52 in Colorado.

Data as of Oct 5, 20266 statesEvery rate links to its official source

States publishing
6
National median
$1,649.52units vary by state
Lowest
$5.23Arizona
Highest
$3,056.52Colorado
Answer

What does Medicaid pay for L6035?

6 state Medicaid programs publish a fee-for-service rate for L6035. The national median is $1,649.52 (units differ between states). Colorado pays the most, $3,056.52, and Arizona the least, $5.23 per day, a 584.4x spread.

State ranking

L6035 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Colorado Source · since 2026-07-01$3,056.52——Plans negotiate; applies out of network—
2Alaska Source · since 2026-04-01$2,231.59——Not classified—
3Montana Source · since 2026-04-01$1,684.92——Not classified—
6Arizona Source · since 2026-10-01$5.23day—Plans negotiate; applies out of network—
See all 6 states for L6035 — start free

2 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 L6035 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 L6035?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1,649.52. Colorado pays the most ($3,056.52) and Arizona the least ($5.23 per day).

Which state pays the highest Medicaid rate for L6035?

Colorado, at $3,056.52, effective 2026-07-01.

Do managed-care plans pay the same rate for L6035?

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.