Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A6412. 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
18
Median % of Medicare
--
Rate range
$0.01 - $6.93
A6412 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Colorado | $0.44 | -- | -- | 2026 |
| Connecticut | $0.75 | -- | -- | 2003 |
| Hawaii | $0.17 | -- | -- | 2025 |
| Idaho | $0.30 | -- | Not required | 2025 |
| Illinois | $1.87 | -- | -- | 2026 |
| Kansas | $2.50 | -- | -- | 2003 |
| Maryland | $1.86 | -- | -- | 2026 |
| Minnesota | $2.96 | -- | Conditional | 2003 |
| Missouri | $0.01 | -- | Not required | 2003 |
| Mississippi | $1.67* | -- | -- | 2026 |
| Nebraska | $0.41 | -- | -- | 2026 |
| New Hampshire | $0.54 | -- | Not required | 2026 |
| New York | $0.28 | -- | -- | 2026 |
| Ohio | $0.12 | -- | -- | 2026 |
| Oklahoma | $6.93 | -- | -- | 2020 |
| Pennsylvania | $0.57 | -- | -- | 2023 |
| Texas | $0.40* | -- | -- | 2011 |
| Wyoming | $0.22 | -- | -- | 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
- 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 A6412?
18 state Medicaid programs publish a fee-for-service rate for A6412 (eye patch, occlusive, each), ranging from $0.01 in Missouri to $6.93 in Oklahoma. The full table on this page lists every publishing state's current rate.
Which state pays the most for A6412?
Oklahoma publishes the highest Medicaid rate for A6412 at $6.93. Missouri publishes the lowest at $0.01.
Does A6412 require prior authorization under Medicaid?
1 of the 18 publishing states flag A6412 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".