Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4465. 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
13
Median % of Medicare
--
Rate range
$0.01 - $18.31
A4465 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $12.00 | -- | -- | 2026 |
| Colorado | $12.70 | -- | -- | 2026 |
| District of Columbia | $3.40* | -- | Required | 2003 |
| Hawaii | $8.10 | -- | -- | 2025 |
| Idaho | $10.49 | -- | Not required | 2025 |
| Illinois | $0.93 | -- | -- | 2026 |
| Massachusetts | $11.52 | -- | -- | 2026 |
| Maine | $0.08 | -- | -- | 2026 |
| Missouri | $0.01 | -- | Not required | 2003 |
| New Mexico | $6.77 | -- | -- | 2025 |
| Oklahoma | $17.35 | -- | -- | 2020 |
| Texas | $18.31* | -- | -- | 2017 |
| Washington | $11.33 | -- | -- | 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 A4465?
13 state Medicaid programs publish a fee-for-service rate for A4465 (non-elastic binder for extremity), ranging from $0.01 in Missouri to $18.31 in Texas. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4465?
Texas publishes the highest Medicaid rate for A4465 at $18.31. Missouri publishes the lowest at $0.01.
Does A4465 require prior authorization under Medicaid?
1 of the 13 publishing states flag A4465 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".