Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A5120. 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
43
Median % of Medicare
--
Rate range
$0.01 - $0.42
A5120 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.20 | -- | -- | 2026 |
| Arkansas | $0.22 | -- | -- | 2026 |
| Arizona | $0.37 | -- | -- | 2026 |
| Colorado | $0.24 | -- | -- | 2026 |
| Connecticut | $0.22 | -- | -- | 2006 |
| District of Columbia | $0.28 | -- | Not required | 2026 |
| Florida | $0.18 | -- | -- | 2026 |
| Georgia | $0.18 | -- | -- | 2026 |
| Hawaii | $0.25 | -- | -- | 2025 |
| Iowa | $0.21 | -- | -- | 2024 |
| Idaho | $0.31 | -- | Not required | 2026 |
| Illinois | $0.20 | -- | -- | 2026 |
| Indiana | $0.30 | -- | -- | 2026 |
| Kansas | $0.28 | -- | -- | 2026 |
| Kentucky | $0.20 | -- | -- | 2026 |
| Louisiana | $0.16 | -- | -- | 2026 |
| Massachusetts | $0.28* | -- | -- | 2026 |
| Maryland | $0.27 | -- | -- | 2026 |
| Maine | $0.35* | -- | -- | 2026 |
| Michigan | $0.19 | -- | -- | 2026 |
| Minnesota | $0.35 | -- | Conditional | 2026 |
| Missouri | $0.01 | -- | Not required | 2006 |
| Mississippi | $0.26* | -- | -- | 2026 |
| Montana | $0.35 | -- | Not required | 2026 |
| North Carolina | $0.25 | -- | -- | 2025 |
| North Dakota | $0.41 | -- | Not required | 2026 |
| Nebraska | $0.32 | -- | -- | 2026 |
| New Hampshire | $0.22 | -- | Not required | 2026 |
| New Jersey | $0.24 | -- | Not required | 2026 |
| New Mexico | $0.42 | -- | -- | 2025 |
| Nevada | $0.26 | -- | -- | 2017 |
| New York | $0.21 | -- | -- | 2026 |
| Ohio | $0.20 | -- | -- | 2024 |
| Oklahoma | $0.33 | -- | -- | 2026 |
| Pennsylvania | $0.20 | -- | -- | 2007 |
| South Carolina | $0.27 | -- | -- | 2019 |
| Texas | $0.26* | -- | -- | 2012 |
| Virginia | $0.27 | -- | -- | 2026 |
| Vermont | $0.29 | -- | -- | 2026 |
| Washington | $0.25 | -- | -- | 2026 |
| Wisconsin | $0.19 | -- | -- | 2008 |
| West Virginia | $0.25 | -- | -- | 2026 |
| Wyoming | $0.22 | -- | -- | 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
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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 39 codes from A5051 to A5514 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A5120?
43 state Medicaid programs publish a fee-for-service rate for A5120 (skin barrier, wipes or swabs, each), ranging from $0.01 in Missouri to $0.42 in New Mexico. The full table on this page lists every publishing state's current rate.
Which state pays the most for A5120?
New Mexico publishes the highest Medicaid rate for A5120 at $0.42. Missouri publishes the lowest at $0.01.
Does A5120 require prior authorization under Medicaid?
1 of the 43 publishing states flag A5120 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".