Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4261. 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
17
Median % of Medicare
--
Rate range
$1.39 - $70.37
A4261 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $45.00 | -- | -- | 2026 |
| Colorado | $70.37 | -- | -- | 2026 |
| Connecticut | $5.40 | -- | -- | 2026 |
| Florida | $62.45 | -- | -- | 2026 |
| Hawaii | $15.00 | -- | -- | 2025 |
| Iowa | $19.04 | -- | -- | 2024 |
| Kansas | $24.00 | -- | -- | 2006 |
| Kentucky | $1.39 | -- | -- | 2026 |
| Minnesota | $60.00 | -- | Conditional | 1999 |
| North Dakota | $50.99 | -- | Not required | 2026 |
| New Mexico | $49.45 | -- | -- | 2025 |
| Nevada | $48.98 | -- | -- | 2024 |
| Ohio | $17.65 | -- | Not required | 1999 |
| Texas | $54.96* | -- | -- | 2026 |
| Washington | $53.76 | -- | -- | 2026 |
| Wisconsin | $60.00 | -- | -- | 2017 |
| Wyoming | $9.75* | -- | -- | 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
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- 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 A4261?
17 state Medicaid programs publish a fee-for-service rate for A4261 (cervical cap for contraceptive use), ranging from $1.39 in Kentucky to $70.37 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4261?
Colorado publishes the highest Medicaid rate for A4261 at $70.37. Kentucky publishes the lowest at $1.39.
Does A4261 require prior authorization under Medicaid?
1 of the 17 publishing states flag A4261 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".