Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4268. 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
31
Median % of Medicare
--
Rate range
$0.06 - $12.42
A4268 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $2.55 | -- | -- | 2026 |
| California | $10.83 | -- | -- | 2026 |
| Colorado | $3.77 | -- | -- | 2026 |
| Connecticut | $2.95 | -- | -- | 2026 |
| Hawaii | $2.50 | -- | -- | 2025 |
| Iowa | $0.30 | -- | -- | 2013 |
| Illinois | $1.10 | -- | -- | 2026 |
| Indiana | $3.18 | -- | -- | 2026 |
| Kansas | $0.75 | -- | -- | 2013 |
| Kentucky | $0.25 | -- | -- | 2026 |
| Louisiana | $0.06 | -- | -- | 2026 |
| Massachusetts | $2.14 | -- | -- | 2025 |
| Michigan | $0.68 | -- | -- | 2026 |
| Mississippi | $0.27 | -- | -- | 2026 |
| Montana | $3.46 | -- | -- | 2026 |
| North Carolina | $12.42 | -- | -- | 2025 |
| North Dakota | $4.40 | -- | Not required | 2026 |
| Nebraska | $3.88 | -- | -- | 2026 |
| New Hampshire | $2.66 | -- | Not required | 2026 |
| New Mexico | $2.47 | -- | -- | 2025 |
| Nevada | $0.38 | -- | -- | -- |
| New York | $3.54 | -- | -- | 2026 |
| Ohio | $2.10 | -- | -- | 2003 |
| Oklahoma | $2.32 | -- | -- | 2020 |
| Pennsylvania | $2.25 | -- | -- | 2008 |
| South Carolina | $0.95 | -- | -- | 2014 |
| Texas | $2.83* | -- | -- | 2012 |
| Virginia | $3.10 | -- | -- | 2009 |
| Washington | $2.05 | -- | -- | 2026 |
| Wisconsin | $3.44 | -- | -- | 2004 |
| 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.
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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)
- 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 A4268?
31 state Medicaid programs publish a fee-for-service rate for A4268 (contraceptive supply, condom, female, each), ranging from $0.06 in Louisiana to $12.42 in North Carolina. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4268?
North Carolina publishes the highest Medicaid rate for A4268 at $12.42. Louisiana publishes the lowest at $0.06.
Does A4268 require prior authorization under Medicaid?
No publishing state flags A4268 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.