Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A6250. 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
$29/mo after the trial. Cancel anytime.
Publishing states
20
Median % of Medicare
--
Rate range
$0.01 - $22.87
A6250 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1.50 | -- | -- | 2026 |
| Colorado | $5.54 | -- | -- | 2026 |
| District of Columbia | $3.64 | -- | Varies | 2026 |
| Idaho | $2.54 | -- | Not required | 2025 |
| Indiana | $14.54 | -- | -- | 2026 |
| Kentucky | $22.87 | -- | -- | 2026 |
| Louisiana | $3.37 | -- | -- | 2026 |
| Maryland | $1.82 | -- | -- | 2026 |
| Maine | $10.66 | -- | -- | 2026 |
| Michigan | $4.57 | -- | -- | 2026 |
| Missouri | $0.01 | -- | Not required | 2003 |
| Mississippi | $3.47* | -- | -- | 2026 |
| Nebraska | $2.55 | -- | -- | 2026 |
| New Mexico | $15.00 | -- | -- | 2026 |
| Oklahoma | $3.74 | -- | -- | 2020 |
| Texas | $5.16* | -- | -- | 2012 |
| Virginia | $5.80 | -- | -- | 2010 |
| Vermont | $1.25 | -- | -- | 2026 |
| Wisconsin | $1.95 | -- | -- | 2021 |
| West Virginia | $15.00 | -- | -- | 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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 171 codes from A6010 to A6610 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A6250?
20 state Medicaid programs publish a fee-for-service rate for A6250 (skin sealants, protectants, moisturizers, ointments, any type, any size), ranging from $0.01 in Missouri to $22.87 in Kentucky. The full table on this page lists every publishing state's current rate.
Which state pays the most for A6250?
Kentucky publishes the highest Medicaid rate for A6250 at $22.87. Missouri publishes the lowest at $0.01.
Does A6250 require prior authorization under Medicaid?
No publishing state flags A6250 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.