# HCPCS L5981: All lower extremity prostheses, flex-walk system or equal

Medicare HCPCS L5981 pays $3,929.60 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $3,666.67 in Texas to $4,519.17 in Puerto Rico, a 23% spread.

Web page: https://www.med-reveal.com/rates/L5981-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $3,929.60 |
| National facility | $3,929.60 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $4,519.17 | $4,519.17 |
| Illinois | $4,201.60 | $4,201.60 |
| Indiana | $4,201.60 | $4,201.60 |
| Michigan | $4,201.60 | $4,201.60 |
| Minnesota | $4,201.60 | $4,201.60 |
| Ohio | $4,201.60 | $4,201.60 |
| Wisconsin | $4,201.60 | $4,201.60 |
| Iowa | $4,088.43 | $4,088.43 |
| Kansas | $4,088.43 | $4,088.43 |
| Missouri | $4,088.43 | $4,088.43 |
| Nebraska | $4,088.43 | $4,088.43 |
| Arizona | $4,010.20 | $4,010.20 |
| California | $4,010.20 | $4,010.20 |
| Idaho | $4,010.20 | $4,010.20 |
| Nevada | $4,010.20 | $4,010.20 |
| Oregon | $4,010.20 | $4,010.20 |
| Washington | $4,010.20 | $4,010.20 |
| Alaska | $3,988.57 | $3,988.57 |
| Hawaii | $3,988.57 | $3,988.57 |
| Connecticut | $3,968.43 | $3,968.43 |
| Maine | $3,968.43 | $3,968.43 |
| Massachusetts | $3,968.43 | $3,968.43 |
| New Hampshire | $3,968.43 | $3,968.43 |
| Rhode Island | $3,968.43 | $3,968.43 |
| Vermont | $3,968.43 | $3,968.43 |
| Colorado | $3,954.98 | $3,954.98 |
| Montana | $3,954.98 | $3,954.98 |
| North Dakota | $3,954.98 | $3,954.98 |
| South Dakota | $3,954.98 | $3,954.98 |
| Utah | $3,954.98 | $3,954.98 |
| Wyoming | $3,954.98 | $3,954.98 |
| Delaware | $3,923.49 | $3,923.49 |
| District of Columbia | $3,923.49 | $3,923.49 |
| Maryland | $3,923.49 | $3,923.49 |
| Pennsylvania | $3,923.49 | $3,923.49 |
| Virginia | $3,923.49 | $3,923.49 |
| West Virginia | $3,923.49 | $3,923.49 |
| New Jersey | $3,799.04 | $3,799.04 |
| New York | $3,799.04 | $3,799.04 |
| Virgin Islands | $3,799.04 | $3,799.04 |
| Alabama | $3,667.02 | $3,667.02 |
| Florida | $3,667.02 | $3,667.02 |
| Georgia | $3,667.02 | $3,667.02 |
| Kentucky | $3,667.02 | $3,667.02 |
| Mississippi | $3,667.02 | $3,667.02 |
| North Carolina | $3,667.02 | $3,667.02 |
| South Carolina | $3,667.02 | $3,667.02 |
| Tennessee | $3,667.02 | $3,667.02 |
| Arkansas | $3,666.67 | $3,666.67 |
| Louisiana | $3,666.67 | $3,666.67 |
| New Mexico | $3,666.67 | $3,666.67 |
| Oklahoma | $3,666.67 | $3,666.67 |
| Texas | $3,666.67 | $3,666.67 |

## 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
- L5321: Above knee prosthesis, molded socket, open end, endoskeletal system — https://www.med-reveal.com/rates/L5321-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

Commercial negotiated rates for L5981 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