A4450 Medicaid Rate by State

Tape, non-waterproof, per 18 square inches

42 state Medicaid programs publish a fee-for-service rate for A4450 (tape, non-waterproof, per 18 square inches), ranging from $0.01 in Missouri to $1.74 in Arkansas.

Every state, kept current

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This page shows one representative rate per state for A4450. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

42

Median % of Medicare

--

Rate range

$0.01 - $1.74

A4450 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$0.09----2026
Arkansas$1.74----2026
Arizona$0.12----2026
Colorado$0.10--Required2026
Connecticut$0.08----2003
District of Columbia$0.08--Not required2024
Florida$0.32----2026
Georgia$0.09----2026
Hawaii$0.09----2025
Iowa$0.09----2024
Idaho$0.12--Not required2026
Illinois$0.09----2026
Indiana$0.10----2024
Kansas$0.11----2026
Kentucky$0.09----2026
Massachusetts$0.09*----2026
Maryland$0.09----2026
Maine$0.10*----2026
Michigan$0.09----2026
Minnesota$0.10--Conditional2023
Missouri$0.01--Not required2003
Mississippi$0.08*----2026
Montana$0.14--Not required2026
North Carolina$0.09----2025
North Dakota$0.15--Not required2026
Nebraska$0.17----2026
New Hampshire$0.47--Not required2026
New Jersey$0.07--Not required2026
New Mexico$0.15----2025
Nevada$0.10----2024
New York$0.07----2026
Ohio$0.08----2004
Oklahoma$0.10----2026
Pennsylvania$0.07----2008
South Carolina$0.12----2024
Texas$0.09*----2003
Virginia$0.09----2026
Vermont$0.09----2026
Washington$0.10*----2026
Wisconsin$0.12----2008
West Virginia$0.08----2026
Wyoming$0.09----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

All 238 codes from A4206 to A4932 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A4450?

42 state Medicaid programs publish a fee-for-service rate for A4450 (tape, non-waterproof, per 18 square inches), ranging from $0.01 in Missouri to $1.74 in Arkansas. The full table on this page lists every publishing state's current rate.

Which state pays the most for A4450?

Arkansas publishes the highest Medicaid rate for A4450 at $1.74. Missouri publishes the lowest at $0.01.

Does A4450 require prior authorization under Medicaid?

2 of the 42 publishing states flag A4450 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".