Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T4531. 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
34
Median % of Medicare
--
Rate range
$0.01 - $1.47
T4531 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $1.00 | -- | -- | 2026 |
| Arkansas | $0.84* | -- | -- | 2026 |
| Colorado | $0.72 | -- | -- | 2026 |
| Connecticut | $0.70 | -- | Required | 2011 |
| Delaware | $0.25 | -- | -- | 2026 |
| Georgia | $0.80 | -- | -- | 2026 |
| Iowa | $0.77 | -- | -- | 2024 |
| Idaho | $0.44 | -- | Not required | 2025 |
| Illinois | $0.58 | -- | -- | 2026 |
| Indiana | $1.47 | -- | -- | 2014 |
| Kansas | $0.45 | -- | -- | 2010 |
| Kentucky | $0.87 | -- | -- | 2026 |
| Louisiana | $0.81 | -- | -- | 2026 |
| Maryland | $0.93 | -- | -- | 2026 |
| Maine | $0.70 | -- | -- | 2026 |
| Michigan | $1.15 | -- | -- | 2026 |
| Minnesota | $0.98 | -- | Conditional | 2026 |
| Missouri | $0.01 | -- | Varies | 2016 |
| Mississippi | $0.72* | -- | -- | 2026 |
| Montana | $0.82 | -- | Not required | 2026 |
| North Carolina | $0.70 | -- | -- | 2025 |
| Nebraska | $0.91 | -- | -- | 2026 |
| New Hampshire | $0.61 | -- | Varies | 2026 |
| New Jersey | $0.45 | -- | Required | 2026 |
| Nevada | $0.54 | -- | -- | 2011 |
| Ohio | $0.40 | -- | -- | 2005 |
| Pennsylvania | $0.55 | -- | -- | 2005 |
| South Carolina | $0.63 | -- | -- | 2024 |
| Texas | $0.64* | -- | -- | 2019 |
| Virginia | $0.40 | -- | -- | 2014 |
| Vermont | $0.69 | -- | -- | 2026 |
| Washington | $0.41 | -- | -- | 2026 |
| Wisconsin | $0.51 | -- | -- | 2008 |
| Wyoming | $0.94 | -- | -- | 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
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 23 codes from T4521 to T4544 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for T4531?
34 state Medicaid programs publish a fee-for-service rate for T4531 (pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each), ranging from $0.01 in Missouri to $1.47 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for T4531?
Indiana publishes the highest Medicaid rate for T4531 at $1.47. Missouri publishes the lowest at $0.01.
Does T4531 require prior authorization under Medicaid?
3 of the 34 publishing states flag T4531 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".