Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L6028. 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
$29/mo after the trial. Cancel anytime.
Publishing states
11
Median % of Medicare
86.9%
Rate range
$1,123.04 - $3,374.96
L6028 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $2,173.12 | 111.5% | -- | 2026 |
| Colorado | $1,229.61 | 63.1% | Required | 2026 |
| Florida | $1,123.04 | 57.6% | -- | 2026 |
| Kansas | $1,793.28 | 92% | -- | 2026 |
| Kentucky | $1,734.50 | 89% | -- | 2026 |
| Maryland | $1,468.59 | 75.4% | Required | 2026 |
| Michigan | $1,693.00 | 86.9% | -- | 2026 |
| Minnesota | $2,287.49 | 117.4% | Conditional | 2026 |
| Mississippi | $1,382.20* | 70.9% | -- | 2026 |
| South Carolina | $1,363.52 | 70% | -- | 2026 |
| Texas | $3,374.96* | 173.2% | -- | 2025 |
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 126 codes from L6000 to L6975 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L6028?
11 state Medicaid programs publish a fee-for-service rate for L6028 (partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692), ranging from $1,123.04 in Florida to $3,374.96 in Texas, with a median of 86.9% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for L6028?
Texas publishes the highest Medicaid rate for L6028 at $3,374.96 (173.2% of the national Medicare amount). Florida publishes the lowest at $1,123.04.
Does L6028 require prior authorization under Medicaid?
3 of the 11 publishing states flag L6028 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".