Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A6261. 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
18
Median % of Medicare
--
Rate range
$0.01 - $100.00
A6261 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $4.77 | -- | Required | 2026 |
| Connecticut | $5.50 | -- | -- | 2003 |
| District of Columbia | $11.84 | -- | Not required | 2003 |
| Idaho | $2.48 | -- | Not required | 2025 |
| Indiana | $1.31 | -- | -- | 2026 |
| Kentucky | $0.55 | -- | -- | 2026 |
| Michigan | $3.71 | -- | -- | 2026 |
| Minnesota | $30.28 | -- | Conditional | 2009 |
| Missouri | $0.01 | -- | Not required | 2003 |
| North Carolina | $26.84 | -- | -- | 2025 |
| Nevada | $3.54 | -- | -- | 2011 |
| New York | $3.40 | -- | -- | 2026 |
| Ohio | $100.00 | -- | -- | 1997 |
| Oklahoma | $10.88 | -- | -- | 2020 |
| South Carolina | $7.64 | -- | -- | 2024 |
| Utah | $35.14* | -- | Not required | 2011 |
| Virginia | $3.35 | -- | -- | 2010 |
| Wisconsin | $0.19 | -- | -- | 2008 |
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 A6261?
18 state Medicaid programs publish a fee-for-service rate for A6261 (wound filler, gel/paste, per fluid ounce, not otherwise specified), ranging from $0.01 in Missouri to $100.00 in Ohio. The full table on this page lists every publishing state's current rate.
Which state pays the most for A6261?
Ohio publishes the highest Medicaid rate for A6261 at $100.00. Missouri publishes the lowest at $0.01.
Does A6261 require prior authorization under Medicaid?
2 of the 18 publishing states flag A6261 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".