The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A7030. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
40
Median % of Medicare
121.3%
Rate range
$0.40 - $322.80
A7030 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $113.20 | 96.5% | -- | 2026 |
| Arizona | $0.40* | 0.3% | -- | 2026 |
| California | $143.93 | 122.8% | -- | 2026 |
| Colorado | $91.63 | 78.1% | Required | 2026 |
| Connecticut | $88.49 | 75.5% | -- | 2018 |
| District of Columbia | $111.88 | 95.4% | Not required | 2026 |
| Delaware | $111.88 | 95.4% | -- | 2026 |
| Georgia | $150.91* | 128.7% | -- | 2026 |
| Iowa | $181.26 | 154.6% | -- | 2024 |
| Idaho | $153.67 | 131.1% | Not required | 2026 |
| Illinois | $184.41 | 157.3% | -- | 2026 |
| Indiana | $106.61* | 90.9% | -- | 2026 |
| Kansas | $89.05 | 75.9% | -- | 2026 |
| Kentucky | $86.33 | 73.6% | -- | 2026 |
| Maryland | $95.10 | 81.1% | -- | 2026 |
| Maine | $177.85* | 151.7% | -- | 2026 |
| Michigan | $133.28 | 113.7% | -- | 2026 |
| Minnesota | $111.31 | 94.9% | Conditional | 2026 |
| Missouri | $167.21* | 142.6% | Not required | 2018 |
| Mississippi | $142.28* | 121.3% | -- | 2026 |
| Montana | $177.85 | 151.7% | Not required | 2026 |
| North Dakota | $322.80 | 275.3% | Not required | 2026 |
| Nebraska | $107.87* | 92% | -- | 2026 |
| New Hampshire | $183.31 | 156.3% | Not required | 2026 |
| New Jersey | $78.32 | 66.8% | Required | 2026 |
| New Mexico | $182.29 | 155.5% | -- | 2025 |
| Nevada | $133.49* | 113.9% | -- | 2017 |
| New York | $144.64 | 123.4% | -- | 2026 |
| Ohio | $113.18 | 96.5% | -- | 2006 |
| Oklahoma | $177.85 | 151.7% | -- | 2026 |
| Pennsylvania | $150.91 | 128.7% | -- | 2008 |
| South Carolina | $162.29* | 138.4% | -- | 2024 |
| Texas | $139.91* | 119.3% | -- | 2019 |
| Utah | $80.85* | 69% | Not required | 2026 |
| Virginia | $110.21 | 94% | -- | 2026 |
| Vermont | $148.73 | 126.8% | -- | 2026 |
| Washington | $174.15* | 148.5% | -- | 2026 |
| Wisconsin | $161.94 | 138.1% | -- | 2008 |
| West Virginia | $142.28 | 121.3% | -- | 2026 |
| Wyoming | $101.67* | 86.7% | -- | 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.
Frequently asked questions
How much does Medicaid pay for A7030?
40 state Medicaid programs publish a fee-for-service rate for A7030 (full face mask used with positive airway pressure device, each), ranging from $0.40 in Arizona to $322.80 in North Dakota, with a median of 121.3% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for A7030?
North Dakota publishes the highest Medicaid rate for A7030 at $322.80 (275.3% of the national Medicare amount). Arizona publishes the lowest at $0.40.
Does A7030 require prior authorization under Medicaid?
3 of the 40 publishing states flag A7030 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".