A6604 Medicaid Rate by State

Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each

24 state Medicaid programs publish a fee-for-service rate for A6604 (gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each), ranging from $0.78 in New Hampshire to $1.63 in Arizona, with a median of 89.9% of the national Medicare amount.

Every state, kept current

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This page shows one representative rate per state for A6604. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

24

Median % of Medicare

89.9%

Rate range

$0.78 - $1.63

A6604 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1.3094.2%--2026
Arizona$1.63118.1%--2026
Colorado$1.0777.5%--2026
Connecticut$1.1180.4%--2024
District of Columbia$1.1079.7%Not required2026
Delaware$1.38100%--2026
Iowa$1.2792%--2024
Idaho$1.1986.2%Not required2026
Indiana$1.3497.1%--2026
Massachusetts$0.9266.7%--2026
Maryland$1.1784.8%--2026
Maine$1.38100%--2026
Minnesota$1.38100%Conditional2026
Montana$1.38100%Not required2026
New Hampshire$0.7856.5%Not required2026
New Jersey$0.9770.3%Not required2026
New Mexico$1.3497.1%--2025
Nevada$1.3094.2%--2024
Pennsylvania$1.0475.4%--2024
South Carolina$1.0173.2%--2024
Virginia$1.2489.9%--2026
Vermont$1.1583.3%--2026
Washington$1.38100%--2026
Wisconsin$1.0475.4%--2024

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

All 171 codes from A6010 to A6610 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A6604?

24 state Medicaid programs publish a fee-for-service rate for A6604 (gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each), ranging from $0.78 in New Hampshire to $1.63 in Arizona, with a median of 89.9% of the national Medicare amount. The full table on this page lists every publishing state's current rate.

Which state pays the most for A6604?

Arizona publishes the highest Medicaid rate for A6604 at $1.63 (118.1% of the national Medicare amount). New Hampshire publishes the lowest at $0.78.

Does A6604 require prior authorization under Medicaid?

1 of the 24 publishing states flag A6604 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".