L6646 Medicaid reimbursement rate by state (2026)
Upper extremity addition, shoulder joint. Medicaid pays a median of $3,016.58 for L6646 across 39 states, from $1,986.49 in California to $4,548.73 in Alaska.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 39
- National median
- $3,016.58units vary by state
- Lowest
- $1,986.49California
- Highest
- $4,548.73Alaska
What does Medicaid pay for L6646?
39 state Medicaid programs publish a fee-for-service rate for L6646 at the nurse midwife level. The national median is $3,016.58 (units differ between states). Alaska pays the most, $4,548.73, and California the least, $1,986.49, a 2.3x spread.
L6646 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for L6646?
It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $3,016.58. Alaska pays the most ($4,548.73) and California the least ($1,986.49).
Which state pays the highest Medicaid rate for L6646?
Alaska, at $4,548.73, effective 2026-01-01.
Do managed-care plans pay the same rate for L6646?
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.