Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4657. 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
21
Median % of Medicare
--
Rate range
$0.01 - $11.29
A4657 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $0.45 | -- | -- | 2011 |
| District of Columbia | $0.11 | -- | Not required | 2003 |
| Hawaii | $0.16 | -- | -- | 2025 |
| Idaho | $0.46 | -- | Not required | 2025 |
| Illinois | $0.63 | -- | -- | 2026 |
| Kansas | $0.18 | -- | -- | 2007 |
| Kentucky | $11.29 | -- | -- | 2026 |
| Maryland | $0.83 | -- | -- | 2026 |
| Maine | $0.46 | -- | -- | 2026 |
| Michigan | $1.37 | -- | -- | 2026 |
| Minnesota | $0.17 | -- | Conditional | 2009 |
| Missouri | $0.01 | -- | Not required | 2003 |
| Mississippi | $0.18* | -- | -- | 2026 |
| North Carolina | $0.32 | -- | -- | 2025 |
| Nebraska | $0.48 | -- | -- | 2026 |
| New Hampshire | $1.06 | -- | Not required | 2026 |
| New York | $0.21 | -- | -- | 2026 |
| South Carolina | $1.86 | -- | -- | 2026 |
| Texas | $0.70* | -- | -- | 2011 |
| Washington | $0.25 | -- | -- | 2026 |
| Wisconsin | $8.00 | -- | -- | 2006 |
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
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- 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 A4657?
21 state Medicaid programs publish a fee-for-service rate for A4657 (syringe, with or without needle, each), ranging from $0.01 in Missouri to $11.29 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4657?
Kentucky publishes the highest Medicaid rate for A4657 at $11.29. Missouri publishes the lowest at $0.01.
Does A4657 require prior authorization under Medicaid?
1 of the 21 publishing states flag A4657 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".