A6213 Medicaid Rate by State

Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing

35 state Medicaid programs publish a fee-for-service rate for A6213 (foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing), ranging from $0.01 in Missouri to $19.94 in North Carolina.

Every state, kept current

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This page shows one representative rate per state for A6213. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

35

Median % of Medicare

--

Rate range

$0.01 - $19.94

A6213 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$10.76----2026
Colorado$15.32--Required2026
Connecticut$8.99----2003
District of Columbia$9.55--Not required2023
Delaware$9.82----2026
Hawaii$10.39----2025
Idaho$14.04--Not required2025
Illinois$7.58----2026
Indiana$14.30----2026
Kansas$10.00----2007
Kentucky$11.25----2026
Louisiana$8.74----2026
Massachusetts$9.25----2026
Maryland$7.47----2026
Maine$14.54----2026
Michigan$8.77----2026
Minnesota$16.46--Conditional2025
Missouri$0.01--Not required2003
Mississippi$8.67*----2026
North Carolina$19.94----2025
North Dakota$9.33--Not required2026
New Hampshire$9.91--Not required2026
New Mexico$10.28----2025
New York$9.15----2026
Ohio$12.54----2006
Oklahoma$7.14----2020
Pennsylvania$11.60----2020
Texas$9.38*----2017
Utah$5.08*--Not required2011
Virginia$10.15----2010
Vermont$9.80----2026
Washington$9.24----2026
Wisconsin$10.48----2008
West Virginia$8.34----2026
Wyoming$9.17----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

All 171 codes from A6010 to A6610 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A6213?

35 state Medicaid programs publish a fee-for-service rate for A6213 (foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing), ranging from $0.01 in Missouri to $19.94 in North Carolina. The full table on this page lists every publishing state's current rate.

Which state pays the most for A6213?

North Carolina publishes the highest Medicaid rate for A6213 at $19.94. Missouri publishes the lowest at $0.01.

Does A6213 require prior authorization under Medicaid?

2 of the 35 publishing states flag A6213 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".