Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4639. 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
--
Rate range
$32.11 - $409.40
A4639 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $260.44 | -- | -- | 2026 |
| District of Columbia | $229.77 | -- | Not required | 2003 |
| Delaware | $287.21 | -- | -- | 2026 |
| Hawaii | $287.21 | -- | -- | 2025 |
| Indiana | $401.40* | -- | -- | 2026 |
| Massachusetts | $33.32* | -- | -- | 2026 |
| Nebraska | $388.75* | -- | -- | 2026 |
| New Mexico | $332.92 | -- | -- | 2025 |
| Ohio | $32.11 | -- | -- | 2026 |
| Oklahoma | $409.40 | -- | -- | 2026 |
| Virginia | $271.14 | -- | -- | 2011 |
| Wyoming | $343.89 | -- | -- | 2023 |
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 A4639?
12 state Medicaid programs publish a fee-for-service rate for A4639 (replacement pad for infrared heating pad system, each), ranging from $32.11 in Ohio to $409.40 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4639?
Oklahoma publishes the highest Medicaid rate for A4639 at $409.40. Ohio publishes the lowest at $32.11.
Does A4639 require prior authorization under Medicaid?
No publishing state flags A4639 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.