Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A6455. 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
36
Median % of Medicare
79.5%
Rate range
$0.01 - $2.87
A6455 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1.39 | 69.5% | -- | 2026 |
| Arizona | $2.38 | 119% | -- | 2026 |
| Colorado | $1.72 | 86% | Required | 2026 |
| Connecticut | $1.18 | 59% | -- | 2007 |
| Delaware | $1.99 | 99.5% | -- | 2026 |
| Hawaii | $1.39 | 69.5% | -- | 2025 |
| Iowa | $1.43 | 71.5% | -- | 2024 |
| Idaho | $1.72 | 86% | Not required | 2026 |
| Illinois | $1.35 | 67.5% | -- | 2026 |
| Indiana | $1.95 | 97.5% | -- | 2026 |
| Kansas | $1.59 | 79.5% | -- | 2026 |
| Kentucky | $1.11 | 55.5% | -- | 2026 |
| Maryland | $1.69 | 84.5% | -- | 2026 |
| Maine | $1.99 | 99.5% | -- | 2026 |
| Michigan | $0.96 | 48% | -- | 2026 |
| Minnesota | $1.99 | 99.5% | Conditional | 2026 |
| Missouri | $0.01 | 0.5% | Not required | 2004 |
| Mississippi | $1.59* | 79.5% | -- | 2026 |
| Montana | $1.99 | 99.5% | Not required | 2026 |
| North Carolina | $1.43 | 71.5% | -- | 2025 |
| Nebraska | $1.73 | 86.5% | -- | 2026 |
| New Hampshire | $2.87 | 143.5% | Not required | 2026 |
| New Mexico | $1.95 | 97.5% | -- | 2025 |
| Nevada | $1.54 | 77% | -- | 2017 |
| New York | $0.69 | 34.5% | -- | 2026 |
| Ohio | $1.25 | 62.5% | -- | 2004 |
| Oklahoma | $1.99 | 99.5% | -- | 2026 |
| Pennsylvania | $1.11 | 55.5% | -- | 2005 |
| South Carolina | $1.61 | 80.5% | -- | 2024 |
| Texas | $0.77* | 38.5% | -- | 2015 |
| Utah | $1.42* | 71% | Not required | 2026 |
| Virginia | $1.79 | 89.5% | -- | 2026 |
| Vermont | $1.67 | 83.5% | -- | 2026 |
| Washington | $1.50 | 75% | -- | 2026 |
| West Virginia | $1.59 | 79.5% | -- | 2026 |
| Wyoming | $1.79* | 89.5% | -- | 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 A6455?
36 state Medicaid programs publish a fee-for-service rate for A6455 (self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard), ranging from $0.01 in Missouri to $2.87 in New Hampshire, with a median of 79.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for A6455?
New Hampshire publishes the highest Medicaid rate for A6455 at $2.87 (143.5% of the national Medicare amount). Missouri publishes the lowest at $0.01.
Does A6455 require prior authorization under Medicaid?
2 of the 36 publishing states flag A6455 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".