Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4283. 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
$0.69 - $4.16
A4283 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $0.78 | -- | Required | 2026 |
| Idaho | $1.08 | -- | Not required | 2025 |
| Kansas | $4.00 | -- | -- | 2007 |
| Louisiana | $1.57 | -- | -- | 2026 |
| Massachusetts | $1.00 | -- | -- | 2026 |
| Maine | $1.69 | -- | -- | 2026 |
| Michigan | $1.99 | -- | -- | 2026 |
| Missouri | $1.59* | -- | Not required | 2025 |
| New Hampshire | $2.98 | -- | Not required | 2026 |
| Nevada | $0.69 | -- | -- | 2025 |
| Ohio | $1.55 | -- | Not required | 2022 |
| Pennsylvania | $4.16 | -- | -- | 2008 |
| Texas | $0.69* | -- | -- | 2017 |
| Vermont | $2.05 | -- | -- | 2026 |
| Wyoming | $0.78 | -- | -- | 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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- 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 A4283?
15 state Medicaid programs publish a fee-for-service rate for A4283 (cap for breast pump bottle, replacement), ranging from $0.69 in Texas to $4.16 in Pennsylvania. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4283?
Pennsylvania publishes the highest Medicaid rate for A4283 at $4.16. Texas publishes the lowest at $0.69.
Does A4283 require prior authorization under Medicaid?
1 of the 15 publishing states flag A4283 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".