Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4222. 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
39
Median % of Medicare
85.7%
Rate range
$0.01 - $79.06
A4222 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $37.38 | 75% | -- | 2026 |
| Arkansas | $44.89 | 90.1% | -- | 2026 |
| Arizona | $58.29 | 117% | -- | 2026 |
| Colorado | $37.24 | 74.8% | Not required | 2026 |
| Connecticut | $39.72 | 79.7% | -- | 2007 |
| District of Columbia | $39.26 | 78.8% | Required | 2026 |
| Delaware | $49.07 | 98.5% | -- | 2026 |
| Florida | $36.90 | 74.1% | -- | 2026 |
| Georgia | $37.38* | 75% | -- | 2026 |
| Iowa | $42.19 | 84.7% | -- | 2024 |
| Idaho | $48.38 | 97.1% | Not required | 2026 |
| Illinois | $23.07 | 46.3% | -- | 2026 |
| Indiana | $47.78 | 95.9% | -- | 2026 |
| Kansas | $39.26 | 78.8% | -- | 2026 |
| Kentucky | $37.38 | 75% | -- | 2026 |
| Massachusetts | $39.43 | 79.2% | -- | 2026 |
| Maryland | $41.71 | 83.7% | -- | 2026 |
| Maine | $57.84 | 116.1% | -- | 2026 |
| Minnesota | $49.07 | 98.5% | Conditional | 2026 |
| Missouri | $0.01 | 0% | Not required | 2004 |
| Mississippi | $46.27* | 92.9% | -- | 2026 |
| Montana | $56.00 | 112.4% | Not required | 2026 |
| North Dakota | $79.06 | 158.7% | Required | 2026 |
| Nebraska | $45.35 | 91% | -- | 2026 |
| New Hampshire | $49.67 | 99.7% | Not required | 2026 |
| New Jersey | $34.35 | 69% | Required | 2026 |
| New Mexico | $51.76 | 103.9% | -- | 2023 |
| Nevada | $44.95 | 90.2% | -- | 2024 |
| New York | $42.71 | 85.7% | -- | 2026 |
| Ohio | $40.00 | 80.3% | -- | 2005 |
| Oklahoma | $57.84 | 116.1% | -- | 2026 |
| Pennsylvania | $28.00 | 56.2% | -- | 2005 |
| South Carolina | $38.45 | 77.2% | -- | 2024 |
| Texas | $35.89* | 72.1% | -- | 2017 |
| Utah | $35.12* | 70.5% | Not required | 2026 |
| Vermont | $48.34 | 97% | -- | 2026 |
| Washington | $47.35 | 95.1% | -- | 2026 |
| West Virginia | $45.25 | 90.8% | -- | 2026 |
| Wyoming | $44.16* | 88.7% | -- | 2026 |
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 238 codes from A4206 to A4932 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A4222?
39 state Medicaid programs publish a fee-for-service rate for A4222 (infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)), ranging from $0.01 in Missouri to $79.06 in North Dakota, with a median of 85.7% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4222?
North Dakota publishes the highest Medicaid rate for A4222 at $79.06 (158.7% of the national Medicare amount). Missouri publishes the lowest at $0.01.
Does A4222 require prior authorization under Medicaid?
4 of the 39 publishing states flag A4222 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".