Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4559. 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
12
Median % of Medicare
92.3%
Rate range
$0.09 - $0.16
A4559 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $0.16 | 123.1% | -- | 2026 |
| Connecticut | $0.09 | 69.2% | -- | 2007 |
| District of Columbia | $0.10 | 76.9% | Not required | 2023 |
| Iowa | $0.12 | 92.3% | -- | 2024 |
| Idaho | $0.12 | 92.3% | Not required | 2025 |
| Minnesota | $0.13 | 100% | Conditional | 2023 |
| Montana | $0.13 | 100% | Not required | 2026 |
| New Mexico | $0.13 | 100% | -- | 2023 |
| Oklahoma | $0.13 | 100% | -- | 2026 |
| Virginia | $0.10 | 76.9% | -- | 2011 |
| Vermont | $0.11 | 84.6% | -- | 2026 |
| Wyoming | $0.09 | 69.2% | -- | 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 A4559?
12 state Medicaid programs publish a fee-for-service rate for A4559 (coupling gel or paste, for use with ultrasound device, per oz), ranging from $0.09 in Wyoming to $0.16 in Arizona, with a median of 92.3% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4559?
Arizona publishes the highest Medicaid rate for A4559 at $0.16 (123.1% of the national Medicare amount). Wyoming publishes the lowest at $0.09.
Does A4559 require prior authorization under Medicaid?
1 of the 12 publishing states flag A4559 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".