Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9589. 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
18
Median % of Medicare
--
Rate range
$12.75 - $4,156.92
A9589 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $1,432.34 | -- | -- | 2026 |
| California | $4,156.92 | -- | -- | 2026 |
| Colorado | $962.85 | -- | -- | 2026 |
| District of Columbia | $1,424.77 | -- | Not required | 2026 |
| Idaho | $1,231.00 | -- | Not required | 2026 |
| Michigan | $1,432.34 | -- | -- | 2026 |
| Minnesota | $1,432.33 | -- | -- | 2026 |
| Montana | $1,424.77 | -- | -- | 2026 |
| Nebraska | $1,432.33 | -- | -- | 2026 |
| New Hampshire | $12.75 | -- | Not required | 2026 |
| New Mexico | $1,378.71 | -- | -- | 2025 |
| Oklahoma | $1,341.10 | -- | -- | 2026 |
| Texas | $1,424.33* | -- | -- | 2026 |
| Utah | $1,432.34* | -- | Not required | 2026 |
| Virginia | $1,432.33 | -- | -- | 2026 |
| Vermont | $1,354.93 | -- | -- | 2026 |
| Wisconsin | $1,088.20 | -- | -- | 2019 |
| Wyoming | $1,432.34 | -- | -- | 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 76 codes from A9274 to A9800 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A9589?
18 state Medicaid programs publish a fee-for-service rate for A9589 (instillation, hexaminolevulinate hydrochloride, 100 mg), ranging from $12.75 in New Hampshire to $4,156.92 in California. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9589?
California publishes the highest Medicaid rate for A9589 at $4,156.92. New Hampshire publishes the lowest at $12.75.
Does A9589 require prior authorization under Medicaid?
No publishing state flags A9589 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.