T4529 Medicaid Rate by State

Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each

37 state Medicaid programs publish a fee-for-service rate for T4529 (pediatric sized disposable incontinence product, brief/diaper, small/medium size, each), ranging from $0.01 in Missouri to $1.05 in Indiana.

Every state, kept current

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This page shows one representative rate per state for T4529. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

37

Median % of Medicare

--

Rate range

$0.01 - $1.05

T4529 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$0.40----2026
Arkansas$0.38*----2026
Colorado$0.53----2026
Connecticut$0.48--Required2011
District of Columbia$0.60--Required2026
Delaware$0.25----2026
Georgia$0.60----2026
Iowa$0.77----2024
Idaho$0.39--Not required2025
Illinois$0.56----2026
Indiana$1.05----2014
Kansas$0.45----2005
Kentucky$0.73----2026
Louisiana$0.50----2026
Maryland$0.57----2026
Maine$0.53----2026
Michigan$0.52----2026
Minnesota$0.95--Conditional2026
Missouri$0.01--Varies2016
Mississippi$0.60*----2026
Montana$0.60--Not required2026
North Carolina$0.49----2025
Nebraska$0.91----2026
New Hampshire$0.46--Varies2026
New Jersey$0.45--Required2026
New Mexico$0.80----2025
Nevada$0.43----2011
New York$0.31----2026
Ohio$0.43----2024
Pennsylvania$0.55----2005
South Carolina$0.80----2024
Texas$0.30*----2005
Virginia$0.25----2014
Vermont$0.28----2026
Washington$0.41----2026
Wisconsin$0.51----2008
Wyoming$0.60*----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 state-specific services codes

All 23 codes from T4521 to T4544 or every state-specific services code by number.

Frequently asked questions

How much does Medicaid pay for T4529?

37 state Medicaid programs publish a fee-for-service rate for T4529 (pediatric sized disposable incontinence product, brief/diaper, small/medium size, each), ranging from $0.01 in Missouri to $1.05 in Indiana. The full table on this page lists every publishing state's current rate.

Which state pays the most for T4529?

Indiana publishes the highest Medicaid rate for T4529 at $1.05. Missouri publishes the lowest at $0.01.

Does T4529 require prior authorization under Medicaid?

4 of the 37 publishing states flag T4529 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".