Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for K1034. 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
10
Median % of Medicare
--
Rate range
$9.60 - $12.50
K1034 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $12.00 | -- | -- | 2022 |
| Hawaii | $12.00 | -- | -- | 2025 |
| Kansas | $12.50 | -- | -- | 2022 |
| Minnesota | $12.00 | -- | -- | 2022 |
| Mississippi | $9.60* | -- | -- | 2026 |
| Nebraska | $12.00 | -- | -- | 2026 |
| New Hampshire | $12.00 | -- | Not required | 2026 |
| Ohio | $12.00 | -- | Not required | 2022 |
| Pennsylvania | $11.51 | -- | -- | 2022 |
| Vermont | $11.70 | -- | -- | 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 1 codes from K1034 to K1034 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for K1034?
10 state Medicaid programs publish a fee-for-service rate for K1034 (provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count), ranging from $9.60 in Mississippi to $12.50 in Kansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for K1034?
Kansas publishes the highest Medicaid rate for K1034 at $12.50. Mississippi publishes the lowest at $9.60.
Does K1034 require prior authorization under Medicaid?
No publishing state flags K1034 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.