Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A6540. 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
30
Median % of Medicare
85%
Rate range
$40.12 - $171.00
A6540 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $138.60 | 118.8% | -- | 2026 |
| Colorado | $66.50 | 57% | -- | 2026 |
| Connecticut | $171.00 | 146.6% | -- | 2013 |
| District of Columbia | $93.34 | 80% | Required | 2026 |
| Florida | $119.69 | 102.6% | -- | 2026 |
| Iowa | $43.06 | 36.9% | -- | 2024 |
| Idaho | $100.81 | 86.4% | Not required | 2026 |
| Illinois | $40.12 | 34.4% | -- | 2026 |
| Indiana | $113.61* | 97.4% | -- | 2026 |
| Kansas | $93.34 | 80% | -- | 2026 |
| Louisiana | $64.71 | 55.5% | -- | 2026 |
| Massachusetts | $80.39 | 68.9% | -- | 2026 |
| Maryland | $99.18 | 85% | -- | 2026 |
| Maine | $116.68 | 100% | -- | 2026 |
| Michigan | $82.28 | 70.5% | -- | 2026 |
| Minnesota | $116.68 | 100% | Conditional | 2026 |
| Missouri | $116.68* | 100% | Not required | 2026 |
| Montana | $116.68 | 100% | Not required | 2026 |
| North Carolina | $128.81 | 110.4% | -- | 2025 |
| New Hampshire | $106.30 | 91.1% | Not required | 2026 |
| New Jersey | $81.68 | 70% | Required | 2026 |
| Nevada | $79.44 | 68.1% | -- | 2011 |
| New York | $102.24 | 87.6% | -- | 2026 |
| Ohio | $62.50 | 53.6% | -- | 2007 |
| Pennsylvania | $86.46 | 74.1% | -- | 2007 |
| Texas | $85.00* | 72.8% | -- | 2019 |
| Virginia | $105.01 | 90% | -- | 2026 |
| Vermont | $97.14 | 83.3% | -- | 2026 |
| Wisconsin | $142.65 | 122.3% | -- | 2011 |
| West Virginia | $93.34 | 80% | -- | 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 A6540?
30 state Medicaid programs publish a fee-for-service rate for A6540 (gradient compression stocking, waist length, 30-40 mmhg, each), ranging from $40.12 in Illinois to $171.00 in Connecticut, with a median of 85% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for A6540?
Connecticut publishes the highest Medicaid rate for A6540 at $171.00 (146.6% of the national Medicare amount). Illinois publishes the lowest at $40.12.
Does A6540 require prior authorization under Medicaid?
3 of the 30 publishing states flag A6540 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".