Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9274. 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
15
Median % of Medicare
--
Rate range
$26.74 - $7,129.66
A9274 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $35.30 | -- | -- | 2026 |
| Colorado | $31.95 | -- | Required | 2026 |
| Georgia | $36.00* | -- | -- | 2026 |
| Idaho | $59.05* | -- | Not required | 2025 |
| Indiana | $7,129.66* | -- | Required | 2026 |
| Kansas | $43.00 | -- | -- | 2024 |
| Michigan | $55.30 | -- | -- | 2026 |
| Mississippi | $39.40* | -- | -- | 2026 |
| New Hampshire | $31.89* | -- | Not required | 2026 |
| Ohio | $48.15 | -- | -- | 2019 |
| Pennsylvania | $26.74 | -- | -- | 2021 |
| South Carolina | $33.69 | -- | -- | 2024 |
| Texas | $41.24* | -- | -- | 2021 |
| Vermont | $29.40 | -- | -- | 2026 |
| Wyoming | $55.00 | -- | -- | 2022 |
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
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- 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 76 codes from A9274 to A9800 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A9274?
15 state Medicaid programs publish a fee-for-service rate for A9274 (external ambulatory insulin delivery system, disposable, each, includes all supplies and accessories), ranging from $26.74 in Pennsylvania to $7,129.66 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9274?
Indiana publishes the highest Medicaid rate for A9274 at $7,129.66. Pennsylvania publishes the lowest at $26.74.
Does A9274 require prior authorization under Medicaid?
2 of the 15 publishing states flag A9274 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".