Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4209. 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
35
Median % of Medicare
--
Rate range
$0.01 - $1.08
A4209 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.25 | -- | -- | 2026 |
| Arkansas | $1.08 | -- | -- | 2026 |
| Arizona | $0.31 | -- | -- | 2011 |
| Colorado | $0.43 | -- | Required | 2026 |
| District of Columbia | $0.37 | -- | Not required | 1995 |
| Delaware | $0.36 | -- | -- | 2026 |
| Florida | $0.31 | -- | -- | 2026 |
| Hawaii | $0.21 | -- | -- | 2025 |
| Iowa | $0.30 | -- | -- | 2025 |
| Idaho | $0.27 | -- | Not required | 2025 |
| Indiana | $0.45 | -- | -- | 2026 |
| Kansas | $0.25 | -- | -- | 2007 |
| Kentucky | $0.31 | -- | -- | 2026 |
| Massachusetts | $0.45 | -- | -- | 2026 |
| Maryland | $0.96 | -- | -- | 2026 |
| Michigan | $0.57 | -- | -- | 2026 |
| Missouri | $0.01 | -- | Not required | 2003 |
| Mississippi | $0.28* | -- | -- | 2026 |
| North Carolina | $0.30 | -- | -- | 2025 |
| North Dakota | $0.73 | -- | Not required | 2026 |
| Nebraska | $0.50 | -- | -- | 2026 |
| New Hampshire | $0.79 | -- | Not required | 2026 |
| New Mexico | $0.35 | -- | -- | 2025 |
| Nevada | $0.42 | -- | -- | 2024 |
| New York | $0.31 | -- | -- | 2026 |
| Ohio | $0.27 | -- | -- | 1990 |
| Oklahoma | $0.25 | -- | -- | 2020 |
| Pennsylvania | $0.29 | -- | -- | 2005 |
| South Carolina | $1.03 | -- | -- | 2024 |
| Texas | $0.40* | -- | -- | 2011 |
| Virginia | $0.48 | -- | -- | 2010 |
| Washington | $0.23 | -- | -- | 2026 |
| Wisconsin | $0.23 | -- | -- | 2006 |
| West Virginia | $0.30 | -- | -- | 2026 |
| Wyoming | $0.36 | -- | -- | 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
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- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
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- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 238 codes from A4206 to A4932 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A4209?
35 state Medicaid programs publish a fee-for-service rate for A4209 (syringe with needle, sterile 5 cc or greater, each), ranging from $0.01 in Missouri to $1.08 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4209?
Arkansas publishes the highest Medicaid rate for A4209 at $1.08. Missouri publishes the lowest at $0.01.
Does A4209 require prior authorization under Medicaid?
1 of the 35 publishing states flag A4209 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".