Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L5969. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
17
Median % of Medicare
--
Rate range
$8,533.79 - $18,449.82
L5969 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $10,475.43 | -- | -- | 2026 |
| Arkansas | $13,782.16* | -- | -- | 2026 |
| Connecticut | $12,290.79 | -- | Required | 2014 |
| Hawaii | $13,380.54 | -- | -- | 2025 |
| Iowa | $13,089.32 | -- | -- | 2018 |
| Indiana | $18,449.82 | -- | -- | 2026 |
| Louisiana | $11,944.99 | -- | -- | 2026 |
| Massachusetts | $14,203.36 | -- | -- | 2026 |
| Maine | $12,181.02 | -- | -- | 2026 |
| Minnesota | $13,709.14 | -- | Required | 2014 |
| Mississippi | $11,026.77* | -- | -- | 2026 |
| New Hampshire | $8,533.79 | -- | Not required | 2026 |
| New Jersey | $9,366.38 | -- | Required | 2026 |
| New Mexico | $14,609.02 | -- | -- | 2025 |
| Utah | $9,992.66* | -- | Not required | 2014 |
| Vermont | $13,112.89 | -- | -- | 2026 |
| Wyoming | $12,161.67 | -- | Required | 2021 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 189 codes from L5000 to L5992 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L5969?
17 state Medicaid programs publish a fee-for-service rate for L5969 (addition, endoskeletal ankle-foot or ankle system, power assist, includes any type motor(s)), ranging from $8,533.79 in New Hampshire to $18,449.82 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for L5969?
Indiana publishes the highest Medicaid rate for L5969 at $18,449.82. New Hampshire publishes the lowest at $8,533.79.
Does L5969 require prior authorization under Medicaid?
4 of the 17 publishing states flag L5969 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".