A4570 Medicaid Rate by State

Splint

24 state Medicaid programs publish a fee-for-service rate for A4570 (splint), ranging from $0.01 in Missouri to $95.00 in District of Columbia.

Every state, kept current

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This page shows one representative rate per state for A4570. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

24

Median % of Medicare

--

Rate range

$0.01 - $95.00

A4570 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alaska$52.50----2026
Colorado$19.36----2026
District of Columbia$95.00--Not required2015
Delaware$50.00----2026
Florida$11.45----2026
Hawaii$10.40----2025
Indiana$19.38----2026
Kansas$15.00----1987
Louisiana$24.08----2026
Maine$17.63----2026
Missouri$0.01--Not required2003
North Carolina$9.26----2025
North Dakota$12.29--Not required2026
New Hampshire$37.21--Not required2026
Nevada$21.14----2024
New York$1.99----2026
Ohio$10.00----1990
Oklahoma$10.99----2020
South Carolina$19.40----2017
Texas$31.01*----2011
Utah$15.26*--Not required2021
Virginia$12.00----1984
Washington$13.45----2026
West Virginia$67.50----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

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

Frequently asked questions

How much does Medicaid pay for A4570?

24 state Medicaid programs publish a fee-for-service rate for A4570 (splint), ranging from $0.01 in Missouri to $95.00 in District of Columbia. The full table on this page lists every publishing state's current rate.

Which state pays the most for A4570?

District of Columbia publishes the highest Medicaid rate for A4570 at $95.00. Missouri publishes the lowest at $0.01.

Does A4570 require prior authorization under Medicaid?

No publishing state flags A4570 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.