Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4223. 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
20
Median % of Medicare
--
Rate range
$0.01 - $63.15
A4223 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Florida | $36.90 | -- | -- | 2026 |
| Georgia | $6.70* | -- | -- | 2026 |
| Idaho | $40.44 | -- | Not required | 2025 |
| Illinois | $17.31 | -- | -- | 2026 |
| Kansas | $10.00 | -- | -- | 2007 |
| Kentucky | $4.83 | -- | -- | 2026 |
| Maryland | $7.38 | -- | -- | 2026 |
| Maine | $27.44 | -- | -- | 2026 |
| Minnesota | $58.24 | -- | Conditional | 2018 |
| Missouri | $0.01 | -- | Not required | 2005 |
| Nebraska | $63.15 | -- | -- | 2026 |
| New Mexico | $49.54 | -- | -- | 2025 |
| Nevada | $43.86 | -- | -- | 2012 |
| New York | $10.10 | -- | -- | 2026 |
| Ohio | $15.00 | -- | -- | 2007 |
| Oklahoma | $6.50 | -- | -- | 2020 |
| Texas | $15.00* | -- | -- | 2022 |
| Vermont | $4.75 | -- | -- | 2026 |
| West Virginia | $21.51 | -- | -- | 2026 |
| Wyoming | $5.61 | -- | -- | 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 238 codes from A4206 to A4932 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A4223?
20 state Medicaid programs publish a fee-for-service rate for A4223 (infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)), ranging from $0.01 in Missouri to $63.15 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4223?
Nebraska publishes the highest Medicaid rate for A4223 at $63.15. Missouri publishes the lowest at $0.01.
Does A4223 require prior authorization under Medicaid?
1 of the 20 publishing states flag A4223 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".