A6228 Medicaid Rate by State

Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

18 state Medicaid programs publish a fee-for-service rate for A6228 (gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing), ranging from $0.01 in Missouri to $3.95 in Kentucky.

Every state, kept current

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This page shows one representative rate per state for A6228. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

18

Median % of Medicare

--

Rate range

$0.01 - $3.95

A6228 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$0.57----2026
Colorado$2.38--Required2026
District of Columbia$2.03--Not required1997
Delaware$2.30----2026
Hawaii$3.88----2025
Idaho$1.26--Not required2025
Kansas$1.81----2007
Kentucky$3.95----2026
Louisiana$1.14----2026
Maine$3.48----2026
Missouri$0.01--Not required2003
North Carolina$1.93----2025
New Hampshire$2.93--Not required2026
New York$1.64----2026
Pennsylvania$2.51----1997
Texas$1.80*----2017
Wisconsin$0.59----2008
Wyoming$1.46----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 A6228?

18 state Medicaid programs publish a fee-for-service rate for A6228 (gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing), ranging from $0.01 in Missouri to $3.95 in Kentucky. The full table on this page lists every publishing state's current rate.

Which state pays the most for A6228?

Kentucky publishes the highest Medicaid rate for A6228 at $3.95. Missouri publishes the lowest at $0.01.

Does A6228 require prior authorization under Medicaid?

1 of the 18 publishing states flag A6228 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".