Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4342. 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
16
Median % of Medicare
86.4%
Rate range
$524.80 - $1,050.22
A4342 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $1,050.22 | 119.6% | -- | 2026 |
| Colorado | $676.81 | 77.1% | Required | 2026 |
| Connecticut | $696.47 | 79.3% | -- | 2023 |
| District of Columbia | $702.45 | 80% | Not required | 2026 |
| Delaware | $878.06 | 100% | -- | 2026 |
| Iowa | $806.61 | 91.9% | -- | 2025 |
| Idaho | $758.64 | 86.4% | Not required | 2026 |
| Indiana | $860.84 | 98% | -- | 2026 |
| Kansas | $702.45 | 80% | -- | 2026 |
| Montana | $878.06 | 100% | Not required | 2026 |
| New Hampshire | $672.53 | 76.6% | Not required | 2026 |
| New Mexico | $860.84 | 98% | -- | 2025 |
| Ohio | $524.80 | 59.8% | -- | 2023 |
| Utah | $628.38* | 71.6% | Not required | 2026 |
| Virginia | $790.25 | 90% | -- | 2026 |
| Vermont | $736.02 | 83.8% | -- | 2026 |
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 A4342?
16 state Medicaid programs publish a fee-for-service rate for A4342 (accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each), ranging from $524.80 in Ohio to $1,050.22 in Arizona, with a median of 86.4% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4342?
Arizona publishes the highest Medicaid rate for A4342 at $1,050.22 (119.6% of the national Medicare amount). Ohio publishes the lowest at $524.80.
Does A4342 require prior authorization under Medicaid?
1 of the 16 publishing states flag A4342 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".