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L6590 Medicaid reimbursement rate by state (2026)

Preparatory, shoulder disarticulation or interscapular.... Medicaid pays a median of $2,716.19 for L6590 across 48 states, from $1,514.98 in California to $4,216.73 in Alaska.

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

States publishing
48
National median
$2,716.19units vary by state
Lowest
$1,514.98California
Highest
$4,216.73Alaska

What does Medicaid pay for L6590?

48 state Medicaid programs publish a fee-for-service rate for L6590 at the nurse midwife level. The national median is $2,716.19 (units differ between states). Alaska pays the most, $4,216.73, and California the least, $1,514.98, a 2.8x spread.

L6590 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$4,216.73——Not classified—
2North Dakota Source · since 2026-07-01$3,996.51——Not classified—
3Minnesota Source · since 2026-01-01$3,823.85——Plans negotiate; applies out of network—
24Virginia Source · since 2012-01-01$2,717.24——Plans negotiate; applies out of network—
25Mississippi Source · since 2026-07-01$2,715.14——Plans must pay at least this—
26Nevada Source · since 2017-01-01$2,698.00——Plans negotiate; applies out of network—
47Alabama Source · since 2026-05-20$1,556.00——Not classified—
48California Source · since 2026-10-01$1,514.98——Plans negotiate; applies out of network—
See all 48 states for L6590 — 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 L6590 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 L6590?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $2,716.19. Alaska pays the most ($4,216.73) and California the least ($1,514.98).

Which state pays the highest Medicaid rate for L6590?

Alaska, at $4,216.73, effective 2026-01-01.

Do managed-care plans pay the same rate for L6590?

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.