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L6700 Medicaid reimbursement rates by state

Upper extremity addition, external powered feature. 17 state Medicaid programs publish a fee-for-service rate for L6700. Rates run from $7,377.55 in Kansas to $29,683.78 in Indiana, with a median of $28,931.56.

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

States publishing
17
Median rate
$28,931.56units vary by state
Highest
$29,683.78Indiana
Medicare (non-facility)
—not on the physician fee schedule

L6700 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$29,683.78since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$29,510.19since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$29,510.19since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$29,510.19since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$28,931.56since 2026-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Prost
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$28,931.56since 2025-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Pro
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$28,931.56since 2025-04-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$28,931.56since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$28,931.56since 2025-04-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$27,471.04since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$27,195.67since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$24,736.48since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$23,145.25since 2025-10-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$23,145.25since 2025-07-01——Not classified—2026 Fee Schedule - Covered Procedures R
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$22,682.35since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$21,118.94since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$7,377.55since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for L6700?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $28,931.56. Indiana pays the most ($29,683.78 per unit) and Kansas the least ($7,377.55).

Which state pays the highest Medicaid rate for L6700?

Indiana, at $29,683.78 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for L6700?

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 table shows the rule for each state, cited to the contract or statute.

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