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Billing code L6635 · Equipment & supplies

L6635 Medicaid reimbursement rate by state (2026)

Upper extremity addition, lift assist for elbow. Medicaid pays a median of $186.41 for L6635 across 48 states, from $65.00 in Pennsylvania to $368.33 in Alaska.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$186.41units vary by state
Lowest
$65.00Pennsylvania
Highest
$368.33Alaska
Answer

What does Medicaid pay for L6635?

48 state Medicaid programs publish a fee-for-service rate for L6635. The national median is $186.41 (units differ between states). Alaska pays the most, $368.33, and Pennsylvania the least, $65.00, a 5.7x spread.

State ranking

L6635 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$368.33——Not classified—
2Hawaii Source · since 2026-06-01$321.78——Plans negotiate; applies out of network—
3North Dakota Source · since 2026-07-01$291.88——Not classified—
24Illinois Source · since 2019-11-13$187.89——Plans negotiate; applies out of network—
25Vermont Source · since 2026-01-01$184.93——Not classified—
26Virginia Source · since 2012-01-01$184.19——Plans negotiate; applies out of network—
47Florida Source · since 2026-07-01$81.18——Plans negotiate; applies out of network—
48Pennsylvania Source · since 1985-01-26$65.00——Plans negotiate; applies out of network—
See all 48 states for L6635 — 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.

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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 L6635 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 L6635?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $186.41. Alaska pays the most ($368.33) and Pennsylvania the least ($65.00).

Which state pays the highest Medicaid rate for L6635?

Alaska, at $368.33, effective 2026-01-01.

Do managed-care plans pay the same rate for L6635?

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.