Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for L6945. 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
34
Median % of Medicare
76.6%
Rate range
$4,546.50 - $19,189.59
L6945 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8,723.00 | 63.6% | -- | 2026 |
| Arkansas | $8,920.40* | 65.1% | -- | 2026 |
| Arizona | $11,638.57 | 84.9% | -- | 2026 |
| California | $4,546.50 | 33.2% | -- | 2026 |
| Colorado | $7,679.76 | 56% | Required | 2026 |
| Connecticut | $8,110.97 | 59.2% | Required | 2013 |
| Delaware | $13,017.45 | 94.9% | -- | 2026 |
| Florida | $4,615.99 | 33.7% | -- | 2026 |
| Hawaii | $5,248.23 | 38.3% | -- | 2025 |
| Iowa | $8,450.10 | 61.6% | -- | 2024 |
| Indiana | $14,031.86 | 102.3% | -- | 2026 |
| Kansas | $9,996.92 | 72.9% | -- | 2026 |
| Kentucky | $8,200.51 | 59.8% | -- | 2026 |
| Louisiana | $7,392.45 | 53.9% | -- | 2026 |
| Massachusetts | $11,601.32 | 84.6% | -- | 2026 |
| Maryland | $11,064.83 | 80.7% | Required | 2026 |
| Maine | $13,225.96 | 96.5% | -- | 2026 |
| Michigan | $10,591.25 | 77.2% | -- | 2026 |
| Minnesota | $14,312.50 | 104.4% | Required | 2026 |
| Mississippi | $10,499.58* | 76.6% | -- | 2026 |
| Montana | $16,661.53 | 121.5% | Not required | 2026 |
| North Dakota | $19,189.59 | 139.9% | Required | 2026 |
| New Hampshire | $11,396.45 | 83.1% | Required | 2026 |
| New Jersey | $8,936.92 | 65.2% | Not required | 2026 |
| New Mexico | $13,350.47 | 97.4% | -- | 2025 |
| Ohio | $10,754.07 | 78.4% | -- | 2026 |
| Texas | $10,032.95* | 73.2% | -- | 2010 |
| Utah | $11,923.81* | 87% | Not required | 2026 |
| Virginia | $9,811.24 | 71.6% | -- | 2012 |
| Vermont | $11,086.47 | 80.9% | -- | 2026 |
| Washington | $10,305.20 | 75.2% | -- | 2026 |
| Wisconsin | $9,469.46 | 69.1% | -- | 2008 |
| West Virginia | $10,413.96 | 75.9% | -- | 2026 |
| Wyoming | $10,641.62 | 77.6% | 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 126 codes from L6000 to L6975 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for L6945?
34 state Medicaid programs publish a fee-for-service rate for L6945 (elbow disarticulation, external power, molded inner socket, removable humeral shell, outside locking hinges, forearm, otto bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device), ranging from $4,546.50 in California to $19,189.59 in North Dakota, with a median of 76.6% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for L6945?
North Dakota publishes the highest Medicaid rate for L6945 at $19,189.59 (139.9% of the national Medicare amount). California publishes the lowest at $4,546.50.
Does L6945 require prior authorization under Medicaid?
7 of the 34 publishing states flag L6945 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".