# HCPCS L5321: Above knee prosthesis, molded socket, open end, endoskeletal system

Medicare HCPCS L5321 pays $4,573.28 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $4,023.73 in Wyoming to $6,709.86 in Hawaii, a 67% spread.

Web page: https://www.med-reveal.com/rates/L5321-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $4,573.28 |
| National facility | $4,573.28 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $6,709.86 | $6,709.86 |
| Puerto Rico | $6,622.21 | $6,622.21 |
| Alaska | $6,192.89 | $6,192.89 |
| Arizona | $5,364.98 | $5,364.98 |
| California | $5,364.98 | $5,364.98 |
| Nevada | $5,364.98 | $5,364.98 |
| Idaho | $5,298.50 | $5,298.50 |
| Oregon | $5,298.50 | $5,298.50 |
| Washington | $5,298.50 | $5,298.50 |
| Alabama | $4,881.34 | $4,881.34 |
| Florida | $4,881.34 | $4,881.34 |
| Georgia | $4,881.34 | $4,881.34 |
| Kentucky | $4,881.34 | $4,881.34 |
| Mississippi | $4,881.34 | $4,881.34 |
| North Carolina | $4,881.34 | $4,881.34 |
| South Carolina | $4,881.34 | $4,881.34 |
| Tennessee | $4,881.34 | $4,881.34 |
| Arkansas | $4,710.53 | $4,710.53 |
| Louisiana | $4,710.53 | $4,710.53 |
| New Mexico | $4,710.53 | $4,710.53 |
| Oklahoma | $4,710.53 | $4,710.53 |
| Texas | $4,710.53 | $4,710.53 |
| Illinois | $4,399.13 | $4,399.13 |
| Indiana | $4,399.13 | $4,399.13 |
| Michigan | $4,399.13 | $4,399.13 |
| Minnesota | $4,399.13 | $4,399.13 |
| Ohio | $4,399.13 | $4,399.13 |
| Wisconsin | $4,399.13 | $4,399.13 |
| Connecticut | $4,236.56 | $4,236.56 |
| Maine | $4,236.56 | $4,236.56 |
| Massachusetts | $4,236.56 | $4,236.56 |
| New Hampshire | $4,236.56 | $4,236.56 |
| Rhode Island | $4,236.56 | $4,236.56 |
| Vermont | $4,236.56 | $4,236.56 |
| Colorado | $4,023.73 | $4,023.73 |
| Delaware | $4,023.73 | $4,023.73 |
| District of Columbia | $4,023.73 | $4,023.73 |
| Iowa | $4,023.73 | $4,023.73 |
| Kansas | $4,023.73 | $4,023.73 |
| Maryland | $4,023.73 | $4,023.73 |
| Missouri | $4,023.73 | $4,023.73 |
| Montana | $4,023.73 | $4,023.73 |
| Nebraska | $4,023.73 | $4,023.73 |
| New Jersey | $4,023.73 | $4,023.73 |
| New York | $4,023.73 | $4,023.73 |
| North Dakota | $4,023.73 | $4,023.73 |
| Pennsylvania | $4,023.73 | $4,023.73 |
| South Dakota | $4,023.73 | $4,023.73 |
| Utah | $4,023.73 | $4,023.73 |
| Virgin Islands | $4,023.73 | $4,023.73 |
| Virginia | $4,023.73 | $4,023.73 |
| West Virginia | $4,023.73 | $4,023.73 |
| Wyoming | $4,023.73 | $4,023.73 |

## Related codes

- L5000: Partial foot prosthesis, shoe insert with longitudinal arch, toe filler — https://www.med-reveal.com/rates/L5000-hcpcs-fee-schedule
- L5010: Partial foot prosthesis, molded socket, ankle height, soft interface — https://www.med-reveal.com/rates/L5010-hcpcs-fee-schedule
- L5050: Ankle symes prosthesis, molded socket — https://www.med-reveal.com/rates/L5050-hcpcs-fee-schedule
- L5100: Below knee prosthesis, molded socket, shin, SACH foot — https://www.med-reveal.com/rates/L5100-hcpcs-fee-schedule
- L5200: Above knee prosthesis, molded socket, single axis constant friction knee — https://www.med-reveal.com/rates/L5200-hcpcs-fee-schedule
- L5301: Below knee prosthesis, molded socket, shin, SACH foot, endoskeletal system — https://www.med-reveal.com/rates/L5301-hcpcs-fee-schedule
- L5400: Immediate post-surgical or early fitting, application of initial rigid dressing — https://www.med-reveal.com/rates/L5400-hcpcs-fee-schedule
- L5500: Initial, below knee PTB type socket, non-alignable system — https://www.med-reveal.com/rates/L5500-hcpcs-fee-schedule

Commercial negotiated rates for L5321 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules