A4244 Medicaid Rate by State

Alcohol or peroxide, per pint

35 state Medicaid programs publish a fee-for-service rate for A4244 (alcohol or peroxide, per pint), ranging from $0.01 in Missouri to $4.65 in Nebraska.

Every state, kept current

The Rates plan

$29/mo7-day free trial

This page shows one representative rate per state for A4244. 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
Start free trial

$29/mo after the trial. Cancel anytime.

Publishing states

35

Median % of Medicare

--

Rate range

$0.01 - $4.65

A4244 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$1.73----2026
Arizona$4.01----2011
Colorado$0.60--Required2026
Connecticut$1.65----2003
District of Columbia$0.90--Not required1995
Delaware$1.00----2026
Florida$0.84----2026
Hawaii$0.73----2025
Iowa$2.93----2024
Idaho$0.83--Not required2025
Indiana$1.71----2026
Kansas$0.85----2007
Kentucky$0.99----2026
Maine$4.26----2026
Michigan$0.92----2026
Minnesota$1.60--Conditional2025
Missouri$0.01--Not required2003
Mississippi$0.65*----2026
North Carolina$0.99----2025
North Dakota$4.19--Not required2026
Nebraska$4.65----2026
New Hampshire$2.12--Not required2026
New Jersey$0.75--Not required2026
New Mexico$1.10----2025
Nevada$0.83----2024
New York$1.13----2026
Ohio$0.56----1990
Oklahoma$0.60----2020
Texas$0.85*----2019
Virginia$0.65----2010
Vermont$1.15----2026
Washington$1.02----2026
Wisconsin$1.44----2008
West Virginia$0.94----2026
Wyoming$1.95----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

All 238 codes from A4206 to A4932 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A4244?

35 state Medicaid programs publish a fee-for-service rate for A4244 (alcohol or peroxide, per pint), ranging from $0.01 in Missouri to $4.65 in Nebraska. The full table on this page lists every publishing state's current rate.

Which state pays the most for A4244?

Nebraska publishes the highest Medicaid rate for A4244 at $4.65. Missouri publishes the lowest at $0.01.

Does A4244 require prior authorization under Medicaid?

2 of the 35 publishing states flag A4244 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".