A4245 Medicaid Rate by State

Alcohol wipes, per box

34 state Medicaid programs publish a fee-for-service rate for A4245 (alcohol wipes, per box), ranging from $0.01 in Missouri to $10.00 in Delaware.

Every state, kept current

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This page shows one representative rate per state for A4245. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

34

Median % of Medicare

--

Rate range

$0.01 - $10.00

A4245 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$2.50----2026
Arizona$6.23----2011
Colorado$0.06----2026
Connecticut$3.00----2003
District of Columbia$6.00--Not required1995
Delaware$10.00----2026
Florida$2.08----2026
Hawaii$0.01----2025
Iowa$0.05----2024
Indiana$2.15----2026
Louisiana$0.03----2026
Massachusetts$3.61----2026
Maryland$2.13----2026
Maine$2.07----2026
Michigan$1.88----2026
Minnesota$8.00--Conditional2026
Missouri$0.01--Not required2020
Mississippi$2.00*----2026
North Dakota$6.05--Not required2026
Nebraska$7.15----2026
New Hampshire$3.99--Not required2026
New Jersey$1.75--Not required2026
New Mexico$3.21----2025
Nevada$2.49----2024
New York$1.40----2026
Oklahoma$2.16----2020
Pennsylvania$1.87----1993
Texas$1.88*----2019
Utah$3.37*--Not required2012
Virginia$4.08----2025
Vermont$3.06----2026
Washington$2.25----2026
West Virginia$1.00----2026
Wyoming$3.60----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 A4245?

34 state Medicaid programs publish a fee-for-service rate for A4245 (alcohol wipes, per box), ranging from $0.01 in Missouri to $10.00 in Delaware. The full table on this page lists every publishing state's current rate.

Which state pays the most for A4245?

Delaware publishes the highest Medicaid rate for A4245 at $10.00. Missouri publishes the lowest at $0.01.

Does A4245 require prior authorization under Medicaid?

1 of the 34 publishing states flag A4245 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".