A6230 Medicaid Rate by State

Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing

18 state Medicaid programs publish a fee-for-service rate for A6230 (gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing), ranging from $0.01 in Missouri to $14.95 in Indiana.

Every state, kept current

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This page shows one representative rate per state for A6230. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

18

Median % of Medicare

--

Rate range

$0.01 - $14.95

A6230 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$2.31----2026
Colorado$2.15--Required2026
District of Columbia$5.44--Not required1997
Delaware$3.44----2026
Hawaii$3.88----2025
Idaho$1.40--Not required2025
Illinois$1.84----2026
Indiana$14.95----2026
Kansas$5.00----2007
Louisiana$1.95----2026
Maine$0.37----2026
Missouri$0.01--Not required2003
New York$1.84----2026
Oklahoma$0.37----2020
Texas$1.77*----2017
Washington$14.62----2026
Wisconsin$3.03----2008
Wyoming$4.39----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 A6230?

18 state Medicaid programs publish a fee-for-service rate for A6230 (gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing), ranging from $0.01 in Missouri to $14.95 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for A6230?

Indiana publishes the highest Medicaid rate for A6230 at $14.95. Missouri publishes the lowest at $0.01.

Does A6230 require prior authorization under Medicaid?

1 of the 18 publishing states flag A6230 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".