Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4285. 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
$2.87 - $7.73
A4285 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $4.15 | -- | -- | 2026 |
| Idaho | $3.36 | -- | Not required | 2025 |
| Kansas | $6.00 | -- | -- | 2007 |
| Louisiana | $3.25 | -- | -- | 2026 |
| Massachusetts | $7.73 | -- | -- | 2026 |
| Maine | $4.39 | -- | -- | 2026 |
| Michigan | $6.62 | -- | -- | 2026 |
| Missouri | $5.45* | -- | Not required | 2025 |
| New Hampshire | $5.68 | -- | Not required | 2026 |
| Nevada | $2.87 | -- | -- | 2025 |
| Ohio | $3.90 | -- | Not required | 2022 |
| Pennsylvania | $4.16 | -- | -- | 2008 |
| Texas | $2.87* | -- | -- | 2017 |
| Vermont | $3.95 | -- | -- | 2026 |
| Wyoming | $2.93 | -- | -- | 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 A4285?
15 state Medicaid programs publish a fee-for-service rate for A4285 (polycarbonate bottle for use with breast pump, replacement), ranging from $2.87 in Texas to $7.73 in Massachusetts. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4285?
Massachusetts publishes the highest Medicaid rate for A4285 at $7.73. Texas publishes the lowest at $2.87.
Does A4285 require prior authorization under Medicaid?
No publishing state flags A4285 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.