Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4252. 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
10
Median % of Medicare
--
Rate range
$0.01 - $6.39
A4252 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $4.70 | -- | -- | 2026 |
| Idaho | $6.39 | -- | Required | 2025 |
| Maine | $4.37 | -- | -- | 2026 |
| Missouri | $0.01 | -- | Not required | 2008 |
| North Dakota | $5.79 | -- | Not required | 2026 |
| New Hampshire | $5.95 | -- | Not required | 2026 |
| New York | $4.49 | -- | -- | 2026 |
| South Carolina | $4.50 | -- | -- | 2025 |
| Texas | $6.24* | -- | -- | 2017 |
| Wyoming | $4.50 | -- | -- | 2022 |
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
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
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- 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)
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- 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 A4252?
10 state Medicaid programs publish a fee-for-service rate for A4252 (blood ketone test or reagent strip, each), ranging from $0.01 in Missouri to $6.39 in Idaho. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4252?
Idaho publishes the highest Medicaid rate for A4252 at $6.39. Missouri publishes the lowest at $0.01.
Does A4252 require prior authorization under Medicaid?
1 of the 10 publishing states flag A4252 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".