Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4230. 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
$29/mo after the trial. Cancel anytime.
Publishing states
35
Median % of Medicare
--
Rate range
$0.01 - $201.45
A4230 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $14.80* | -- | -- | 2026 |
| Arkansas | $6.44 | -- | -- | 2026 |
| Colorado | $14.34 | -- | Required | 2026 |
| Connecticut | $14.35 | -- | -- | 2006 |
| District of Columbia | $25.00 | -- | Required | 1997 |
| Florida | $166.87 | -- | -- | 2026 |
| Georgia | $16.00* | -- | -- | 2026 |
| Hawaii | $9.06 | -- | -- | 2025 |
| Iowa | $85.51 | -- | -- | 2024 |
| Illinois | $13.35 | -- | -- | 2026 |
| Indiana | $11.66 | -- | -- | 2026 |
| Kansas | $9.21 | -- | -- | 2005 |
| Kentucky | $115.50 | -- | -- | 2026 |
| Maine | $14.12 | -- | -- | 2026 |
| Michigan | $10.60 | -- | -- | 2026 |
| Minnesota | $20.46 | -- | Conditional | 2026 |
| Missouri | $0.01 | -- | Not required | 2004 |
| Mississippi | $10.22* | -- | -- | 2026 |
| North Dakota | $10.56 | -- | Not required | 2026 |
| Nebraska | $11.15 | -- | -- | 2026 |
| New Hampshire | $11.69 | -- | Not required | 2026 |
| Nevada | $10.00 | -- | -- | 2011 |
| New York | $15.20 | -- | -- | 2026 |
| Ohio | $12.00 | -- | Not required | 2024 |
| Oklahoma | $9.53 | -- | -- | 2020 |
| Pennsylvania | $9.92 | -- | -- | 2008 |
| South Carolina | $15.51 | -- | -- | 2024 |
| Texas | $11.55* | -- | -- | 2019 |
| Utah | $9.98* | -- | Not required | 2011 |
| Virginia | $10.31 | -- | -- | 2010 |
| Vermont | $7.81 | -- | -- | 2026 |
| Washington | $201.45 | -- | -- | 2026 |
| Wisconsin | $10.38 | -- | -- | 2008 |
| West Virginia | $14.00 | -- | -- | 2026 |
| Wyoming | $9.70 | -- | -- | 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 A4230?
35 state Medicaid programs publish a fee-for-service rate for A4230 (infusion set for external insulin pump, non needle cannula type), ranging from $0.01 in Missouri to $201.45 in Washington. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4230?
Washington publishes the highest Medicaid rate for A4230 at $201.45. Missouri publishes the lowest at $0.01.
Does A4230 require prior authorization under Medicaid?
3 of the 35 publishing states flag A4230 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".