Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T4537. 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
21
Median % of Medicare
--
Rate range
$0.01 - $22.00
T4537 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $4.25 | -- | Required | 2005 |
| Iowa | $14.20 | -- | -- | 2024 |
| Idaho | $13.51 | -- | Not required | 2025 |
| Indiana | $22.00 | -- | -- | 2014 |
| Kentucky | $21.00 | -- | -- | 2026 |
| Massachusetts | $7.42 | -- | -- | 2026 |
| Maine | $7.87 | -- | -- | 2026 |
| Missouri | $0.01 | -- | Not required | 2016 |
| Montana | $17.90 | -- | Not required | 2026 |
| Nebraska | $19.68* | -- | -- | 2026 |
| New Hampshire | $6.07 | -- | Required | 2026 |
| Nevada | $12.83 | -- | -- | 2025 |
| New York | $13.57 | -- | -- | 2026 |
| Ohio | $20.00 | -- | -- | 2005 |
| Oklahoma | $13.50 | -- | -- | 2020 |
| Pennsylvania | $10.85 | -- | -- | 2005 |
| Virginia | $12.36 | -- | -- | 2014 |
| Vermont | $9.92 | -- | -- | 2026 |
| Washington | $12.35* | -- | -- | 2026 |
| Wisconsin | $14.24 | -- | -- | 2018 |
| Wyoming | $16.57* | -- | -- | 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 T4537?
21 state Medicaid programs publish a fee-for-service rate for T4537 (incontinence product, protective underpad, reusable, bed size, each), ranging from $0.01 in Missouri to $22.00 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for T4537?
Indiana publishes the highest Medicaid rate for T4537 at $22.00. Missouri publishes the lowest at $0.01.
Does T4537 require prior authorization under Medicaid?
2 of the 21 publishing states flag T4537 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".