T4541 Medicaid Rate by State

Incontinence product, disposable underpad, large, each

24 state Medicaid programs publish a fee-for-service rate for T4541 (incontinence product, disposable underpad, large, each), ranging from $0.19 in Vermont to $31.00 in Virginia.

Every state, kept current

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This page shows one representative rate per state for T4541. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

24

Median % of Medicare

--

Rate range

$0.19 - $31.00

T4541 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Connecticut$0.34--Required2011
Delaware$0.54----2026
Georgia$0.50----2026
Hawaii$0.30----2025
Idaho$0.24--Not required2025
Illinois$0.51----2026
Indiana$0.47----2014
Kentucky$0.43----2026
Massachusetts$0.26----2026
Maryland$0.51----2026
Maine$0.24----2026
Michigan$0.38----2026
Minnesota$0.72--Conditional2025
Montana$0.34--Not required2026
Nebraska$0.62----2026
New Hampshire$0.25--Required2026
Nevada$0.41----2011
Ohio$0.30----2024
Oklahoma$0.58----2020
Pennsylvania$0.38----2013
Virginia$31.00----2014
Vermont$0.19----2026
Washington$0.30----2026
Wyoming$0.60*----2023

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 T4541?

24 state Medicaid programs publish a fee-for-service rate for T4541 (incontinence product, disposable underpad, large, each), ranging from $0.19 in Vermont to $31.00 in Virginia. The full table on this page lists every publishing state's current rate.

Which state pays the most for T4541?

Virginia publishes the highest Medicaid rate for T4541 at $31.00. Vermont publishes the lowest at $0.19.

Does T4541 require prior authorization under Medicaid?

3 of the 24 publishing states flag T4541 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".