Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4305. 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
19
Median % of Medicare
--
Rate range
$7.68 - $33.38
A4305 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $7.68 | -- | Required | 2026 |
| Connecticut | $8.80 | -- | -- | 2016 |
| Delaware | $17.04 | -- | -- | 2026 |
| Hawaii | $15.95 | -- | -- | 2025 |
| Idaho | $8.45 | -- | Not required | 2025 |
| Indiana | $33.38 | -- | -- | 2026 |
| Louisiana | $11.16 | -- | -- | 2026 |
| Maryland | $16.54 | -- | -- | 2026 |
| Maine | $10.38 | -- | -- | 2026 |
| Michigan | $14.69 | -- | -- | 2026 |
| Mississippi | $11.16* | -- | -- | 2026 |
| New Hampshire | $18.60 | -- | Not required | 2026 |
| New Mexico | $16.00 | -- | -- | 2025 |
| Nevada | $13.32 | -- | -- | 2011 |
| Ohio | $12.73 | -- | -- | 2001 |
| Texas | $20.93* | -- | -- | 2011 |
| Utah | $9.16* | -- | Not required | 2011 |
| Vermont | $8.96 | -- | -- | 2026 |
| Wisconsin | $11.34 | -- | -- | 2012 |
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 A4305?
19 state Medicaid programs publish a fee-for-service rate for A4305 (disposable drug delivery system, flow rate of 50 ml or greater per hour), ranging from $7.68 in Colorado to $33.38 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4305?
Indiana publishes the highest Medicaid rate for A4305 at $33.38. Colorado publishes the lowest at $7.68.
Does A4305 require prior authorization under Medicaid?
1 of the 19 publishing states flag A4305 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".