Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4750. 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
10
Median % of Medicare
--
Rate range
$0.11 - $123.73
A4750 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $7.13 | -- | -- | 2011 |
| Colorado | $123.73 | -- | Required | 2026 |
| Hawaii | $22.50 | -- | -- | 2025 |
| Idaho | $7.06 | -- | Not required | 2025 |
| Louisiana | $3.95 | -- | -- | 2026 |
| Maine | $0.11 | -- | -- | 2026 |
| Minnesota | $3.00 | -- | -- | 1991 |
| New Mexico | $3.14 | -- | -- | 2025 |
| Virginia | $10.00 | -- | -- | 1990 |
| Washington | $12.87 | -- | -- | 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
- 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 A4750?
10 state Medicaid programs publish a fee-for-service rate for A4750 (blood tubing, arterial or venous, for hemodialysis, each), ranging from $0.11 in Maine to $123.73 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4750?
Colorado publishes the highest Medicaid rate for A4750 at $123.73. Maine publishes the lowest at $0.11.
Does A4750 require prior authorization under Medicaid?
1 of the 10 publishing states flag A4750 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".