Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4627. 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
30
Median % of Medicare
--
Rate range
$11.70 - $50.09
A4627 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $36.66 | -- | -- | 2026 |
| Arizona | $14.25 | -- | -- | 2011 |
| Colorado | $39.89 | -- | -- | 2026 |
| Hawaii | $20.80 | -- | -- | 2025 |
| Iowa | $29.79 | -- | -- | 2024 |
| Indiana | $34.72 | -- | -- | 2026 |
| Kansas | $22.00 | -- | -- | 2006 |
| Kentucky | $38.00 | -- | -- | 2026 |
| Louisiana | $30.82 | -- | -- | 2026 |
| Massachusetts | $13.28 | -- | -- | 2026 |
| Maryland | $30.61 | -- | -- | 2026 |
| Maine | $46.35 | -- | -- | 2026 |
| Michigan | $14.68 | -- | -- | 2026 |
| Minnesota | $32.00 | -- | Conditional | 2022 |
| Mississippi | $29.98* | -- | -- | 2026 |
| North Carolina | $36.43* | -- | -- | 2025 |
| North Dakota | $45.00 | -- | Not required | 2026 |
| Nebraska | $50.09 | -- | -- | 2026 |
| New Hampshire | $40.39 | -- | Not required | 2026 |
| New Mexico | $23.22 | -- | -- | 2025 |
| Nevada | $15.77 | -- | -- | 2024 |
| Pennsylvania | $18.00 | -- | -- | 2005 |
| South Carolina | $31.33 | -- | -- | 2017 |
| Texas | $30.82* | -- | -- | 2017 |
| Utah | $31.55* | -- | Not required | 2023 |
| Virginia | $24.95 | -- | -- | 2010 |
| Washington | $23.70 | -- | -- | 2026 |
| Wisconsin | $15.75 | -- | -- | 2008 |
| West Virginia | $20.61 | -- | -- | 2026 |
| Wyoming | $11.70 | -- | -- | 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.
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All 238 codes from A4206 to A4932 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A4627?
30 state Medicaid programs publish a fee-for-service rate for A4627 (spacer, bag or reservoir, with or without mask, for use with metered dose inhaler), ranging from $11.70 in Wyoming to $50.09 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4627?
Nebraska publishes the highest Medicaid rate for A4627 at $50.09. Wyoming publishes the lowest at $11.70.
Does A4627 require prior authorization under Medicaid?
1 of the 30 publishing states flag A4627 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".