Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A8002. 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
17
Median % of Medicare
--
Rate range
$15.33 - $483.48
A8002 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $468.58 | -- | -- | 2026 |
| Colorado | $406.90 | -- | Required | 2026 |
| Connecticut | $350.00 | -- | Required | 2013 |
| Florida | $265.41 | -- | -- | 2026 |
| Hawaii | $15.33 | -- | -- | 2025 |
| Idaho | $124.61* | -- | Not required | 2025 |
| Louisiana | $303.66 | -- | -- | 2026 |
| Michigan | $367.74 | -- | -- | 2026 |
| Missouri | $360.58* | -- | Not required | 2019 |
| New York | $430.26 | -- | -- | 2026 |
| Ohio | $441.26 | -- | -- | 2010 |
| Pennsylvania | $275.00 | -- | -- | 2008 |
| Texas | $426.00* | -- | -- | 2017 |
| Utah | $483.48* | -- | Required | 2010 |
| Wisconsin | $135.85 | -- | -- | 2014 |
| West Virginia | $375.35 | -- | -- | 2026 |
| Wyoming | $367.74* | -- | -- | 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 4 codes from A8000 to A8003 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A8002?
17 state Medicaid programs publish a fee-for-service rate for A8002 (helmet, protective, soft, custom fabricated, includes all components and accessories), ranging from $15.33 in Hawaii to $483.48 in Utah. The full table on this page lists every publishing state's current rate.
Which state pays the most for A8002?
Utah publishes the highest Medicaid rate for A8002 at $483.48. Hawaii publishes the lowest at $15.33.
Does A8002 require prior authorization under Medicaid?
3 of the 17 publishing states flag A8002 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".