Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K0552. 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
29
Median % of Medicare
80.5%
Rate range
$1.97 - $4.60
K0552 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $4.60 | 131.8% | -- | 2026 |
| California | $2.09 | 59.9% | -- | 2026 |
| Colorado | $2.81 | 80.5% | Required | 2026 |
| Connecticut | $2.25 | 64.5% | -- | 2007 |
| Iowa | $2.59 | 74.2% | -- | 2024 |
| Idaho | $3.11 | 89.1% | Not required | 2026 |
| Illinois | $2.45 | 70.2% | -- | 2026 |
| Indiana | $3.38 | 96.8% | -- | 2026 |
| Kentucky | $2.12 | 60.7% | -- | 2026 |
| Maryland | $2.95 | 84.5% | -- | 2026 |
| Maine | $3.62 | 103.7% | -- | 2026 |
| Minnesota | $3.47 | 99.4% | Conditional | 2026 |
| Missouri | $2.69* | 77.1% | Not required | 2018 |
| Mississippi | $2.90* | 83.1% | -- | 2026 |
| Montana | $3.60 | 103.2% | Not required | 2026 |
| North Dakota | $4.26 | 122.1% | Not required | 2026 |
| Nebraska | $3.05 | 87.4% | -- | 2026 |
| New Hampshire | $1.97 | 56.4% | Not required | 2026 |
| New Mexico | $3.43 | 98.3% | -- | 2023 |
| Nevada | $2.75 | 78.8% | -- | 2021 |
| New York | $2.68 | 76.8% | -- | 2026 |
| Ohio | $2.65 | 75.9% | Not required | 2006 |
| Oklahoma | $3.62 | 103.7% | -- | 2026 |
| Pennsylvania | $2.12 | 60.7% | -- | 2005 |
| South Carolina | $2.72 | 77.9% | -- | 2024 |
| Texas | $2.52* | 72.2% | -- | 2020 |
| Virginia | $2.47 | 70.8% | -- | 2011 |
| Vermont | $3.03 | 86.8% | -- | 2026 |
| Wyoming | $3.04* | 87.1% | -- | 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 107 codes from K0001 to K0864 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for K0552?
29 state Medicaid programs publish a fee-for-service rate for K0552 (supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each), ranging from $1.97 in New Hampshire to $4.60 in Arizona, with a median of 80.5% of the national Medicare amount. The full table on this page lists every publishing state's current rate.
Which state pays the most for K0552?
Arizona publishes the highest Medicaid rate for K0552 at $4.60 (131.8% of the national Medicare amount). New Hampshire publishes the lowest at $1.97.
Does K0552 require prior authorization under Medicaid?
2 of the 29 publishing states flag K0552 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".