Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T4536. 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
15
Median % of Medicare
--
Rate range
$1.32 - $12.95
T4536 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $2.25 | -- | Required | 2005 |
| Idaho | $6.46 | -- | Not required | 2025 |
| Indiana | $12.95 | -- | -- | 2014 |
| Maryland | $7.69 | -- | -- | 2026 |
| Maine | $1.32 | -- | -- | 2026 |
| Michigan | $1.75 | -- | -- | 2026 |
| Montana | $8.30 | -- | Not required | 2026 |
| Ohio | $11.00 | -- | -- | 2005 |
| Pennsylvania | $7.20 | -- | -- | 2005 |
| Utah | $7.80* | -- | Not required | 2009 |
| Virginia | $10.56 | -- | -- | 2014 |
| Vermont | $11.50 | -- | -- | 2026 |
| Washington | $5.85* | -- | -- | 2026 |
| Wisconsin | $9.54 | -- | -- | 2008 |
| Wyoming | $7.49* | -- | -- | 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 T4536?
15 state Medicaid programs publish a fee-for-service rate for T4536 (incontinence product, protective underwear/pull-on, reusable, any size, each), ranging from $1.32 in Maine to $12.95 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for T4536?
Indiana publishes the highest Medicaid rate for T4536 at $12.95. Maine publishes the lowest at $1.32.
Does T4536 require prior authorization under Medicaid?
1 of the 15 publishing states flag T4536 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".