Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A6217. 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
28
Median % of Medicare
--
Rate range
$0.01 - $3.81
A6217 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $0.15 | -- | -- | 2026 |
| Arkansas | $1.95 | -- | -- | 2026 |
| Colorado | $0.33 | -- | Required | 2026 |
| Connecticut | $0.39 | -- | -- | 2003 |
| District of Columbia | $0.22 | -- | Not required | 2023 |
| Delaware | $0.41 | -- | -- | 2026 |
| Hawaii | $0.45 | -- | -- | 2025 |
| Idaho | $0.38 | -- | Not required | 2025 |
| Illinois | $0.12 | -- | -- | 2026 |
| Indiana | $0.37 | -- | -- | 2026 |
| Kansas | $0.08 | -- | -- | 2007 |
| Louisiana | $0.27 | -- | -- | 2026 |
| Massachusetts | $0.18 | -- | -- | 2026 |
| Maryland | $3.81 | -- | -- | 2026 |
| Maine | $0.37 | -- | -- | 2026 |
| Michigan | $0.10 | -- | -- | 2026 |
| Missouri | $0.01 | -- | Not required | 2003 |
| North Carolina | $0.10 | -- | -- | 2025 |
| Nebraska | $0.62 | -- | -- | 2026 |
| New Hampshire | $0.37 | -- | Not required | 2026 |
| New York | $0.09 | -- | -- | 2026 |
| Ohio | $0.64 | -- | -- | 2006 |
| Pennsylvania | $0.39 | -- | -- | 1997 |
| Texas | $0.11* | -- | -- | 2017 |
| Washington | $0.16 | -- | -- | 2026 |
| Wisconsin | $0.28 | -- | -- | 2012 |
| West Virginia | $0.32 | -- | -- | 2026 |
| Wyoming | $0.54* | -- | -- | 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
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
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- 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 171 codes from A6010 to A6610 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A6217?
28 state Medicaid programs publish a fee-for-service rate for A6217 (gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing), ranging from $0.01 in Missouri to $3.81 in Maryland. The full table on this page lists every publishing state's current rate.
Which state pays the most for A6217?
Maryland publishes the highest Medicaid rate for A6217 at $3.81. Missouri publishes the lowest at $0.01.
Does A6217 require prior authorization under Medicaid?
1 of the 28 publishing states flag A6217 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".