Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9558. 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
16
Median % of Medicare
--
Rate range
$23.50 - $299.54
A9558 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $23.50 | -- | -- | 2026 |
| Arkansas | $25.60 | -- | -- | 2026 |
| Arizona | $262.76 | -- | -- | 2026 |
| California | $235.61 | -- | -- | 2026 |
| Idaho | $258.81 | -- | Not required | 2026 |
| Minnesota | $30.40 | -- | -- | 2006 |
| Mississippi | $292.46 | -- | -- | 2026 |
| Montana | $299.54 | -- | -- | 2026 |
| Nebraska | $280.63 | -- | -- | 2026 |
| New Hampshire | $82.91 | -- | Not required | 2026 |
| New Mexico | $44.69 | -- | -- | 2025 |
| Nevada | $27.59 | -- | -- | 2024 |
| Oklahoma | $290.82 | -- | -- | 2026 |
| South Carolina | $258.55 | -- | -- | 2026 |
| Washington | $299.54 | -- | -- | 2026 |
| Wisconsin | $31.17 | -- | -- | 2008 |
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 76 codes from A9274 to A9800 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A9558?
16 state Medicaid programs publish a fee-for-service rate for A9558 (xenon xe-133 gas, diagnostic, per 10 millicuries), ranging from $23.50 in Alabama to $299.54 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9558?
Montana publishes the highest Medicaid rate for A9558 at $299.54. Alabama publishes the lowest at $23.50.
Does A9558 require prior authorization under Medicaid?
No publishing state flags A9558 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.