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L6310 Medicaid reimbursement rate by state (2026)

Shoulder disarticulation, passive restoration. Medicaid pays a median of $3,057.43 for L6310 across 48 states, from $1,830.60 in Pennsylvania to $6,243.43 in Alaska.

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

States publishing
48
National median
$3,057.43units vary by state
Lowest
$1,830.60Pennsylvania
Highest
$6,243.43Alaska

What does Medicaid pay for L6310?

48 state Medicaid programs publish a fee-for-service rate for L6310 at the nurse midwife level. The national median is $3,057.43 (units differ between states). Alaska pays the most, $6,243.43, and Pennsylvania the least, $1,830.60, a 3.4x spread.

L6310 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$6,243.43——Not classified—
2Hawaii Source · since 2026-06-01$5,454.43——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$4,953.47——Plans negotiate; applies out of network—
24Vermont Source · since 2026-01-01$3,114.13——Not classified—
25West Virginia Source · since 2026-04-01$3,000.72——Plans must pay at least this—
26Missouri Source · since 2019-07-01$2,859.17——Plans negotiate; applies out of network—
47California Source · since 2026-10-01$1,894.54——Plans negotiate; applies out of network—
48Pennsylvania Source · since 1989-01-01$1,830.60——Plans negotiate; applies out of network—
See all 48 states for L6310 — 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.

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 L6310 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for L6310?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $3,057.43. Alaska pays the most ($6,243.43) and Pennsylvania the least ($1,830.60).

Which state pays the highest Medicaid rate for L6310?

Alaska, at $6,243.43, effective 2026-01-01.

Do managed-care plans pay the same rate for L6310?

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.