Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A4930. 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
30
Median % of Medicare
--
Rate range
$0.01 - $2.52
A4930 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $1.45 | -- | -- | 2026 |
| Connecticut | $0.64 | -- | -- | 2003 |
| Delaware | $0.44 | -- | -- | 2026 |
| Florida | $1.29 | -- | -- | 2026 |
| Hawaii | $0.75 | -- | -- | 2025 |
| Idaho | $0.83 | -- | Not required | 2025 |
| Illinois | $0.72 | -- | -- | 2026 |
| Indiana | $0.88 | -- | -- | 2026 |
| Louisiana | $0.35 | -- | -- | 2026 |
| Maryland | $0.50 | -- | -- | 2026 |
| Maine | $0.75 | -- | -- | 2026 |
| Michigan | $0.59 | -- | -- | 2026 |
| Minnesota | $2.52 | -- | Conditional | 2026 |
| Missouri | $0.01 | -- | Not required | 2003 |
| Mississippi | $0.49* | -- | -- | 2026 |
| North Carolina | $0.88 | -- | -- | 2025 |
| Nebraska | $1.78 | -- | -- | 2026 |
| New Hampshire | $0.64 | -- | Not required | 2026 |
| New Jersey | $0.60 | -- | Required | 2026 |
| New Mexico | $0.68 | -- | -- | 2025 |
| New York | $0.41 | -- | -- | 2026 |
| Ohio | $0.55 | -- | -- | 2003 |
| Pennsylvania | $0.68 | -- | -- | 2005 |
| South Carolina | $0.88 | -- | -- | 2024 |
| Texas | $0.77* | -- | -- | 2011 |
| Virginia | $0.57 | -- | -- | 2010 |
| Vermont | $0.82 | -- | -- | 2026 |
| Washington | $0.99 | -- | -- | 2026 |
| Wisconsin | $0.51 | -- | -- | 2018 |
| Wyoming | $0.73 | -- | -- | 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.
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 A4930?
30 state Medicaid programs publish a fee-for-service rate for A4930 (gloves, sterile, per pair), ranging from $0.01 in Missouri to $2.52 in Minnesota. The full table on this page lists every publishing state's current rate.
Which state pays the most for A4930?
Minnesota publishes the highest Medicaid rate for A4930 at $2.52. Missouri publishes the lowest at $0.01.
Does A4930 require prior authorization under Medicaid?
2 of the 30 publishing states flag A4930 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".