Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4281. 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
15
Median % of Medicare
--
Rate range
$3.07 - $19.18
A4281 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $3.07 | -- | -- | 2026 |
| Idaho | $7.20 | -- | Not required | 2025 |
| Kansas | $4.00 | -- | -- | 2007 |
| Louisiana | $4.40 | -- | -- | 2026 |
| Massachusetts | $19.18 | -- | -- | 2026 |
| Maine | $6.30 | -- | -- | 2026 |
| Michigan | $3.64 | -- | -- | 2026 |
| Missouri | $10.46* | -- | Not required | 2025 |
| New Hampshire | $8.30 | -- | Not required | 2026 |
| Nevada | $4.65 | -- | -- | 2025 |
| Ohio | $4.75 | -- | Not required | 2022 |
| Pennsylvania | $15.91 | -- | -- | 2008 |
| Texas | $4.65* | -- | -- | 2017 |
| Vermont | $4.32 | -- | -- | 2026 |
| Wyoming | $3.89 | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 A4281?
15 state Medicaid programs publish a fee-for-service rate for A4281 (tubing for breast pump, replacement), ranging from $3.07 in Colorado to $19.18 in Massachusetts. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4281?
Massachusetts publishes the highest Medicaid rate for A4281 at $19.18. Colorado publishes the lowest at $3.07.
Does A4281 require prior authorization under Medicaid?
No publishing state flags A4281 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.