Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T4542. 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
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Publishing states
19
Median % of Medicare
--
Rate range
$0.16 - $30.00
T4542 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Connecticut | $0.29 | -- | Required | 2011 |
| Delaware | $0.20 | -- | -- | 2026 |
| Idaho | $0.23 | -- | Not required | 2025 |
| Indiana | $0.47 | -- | -- | 2014 |
| Kentucky | $0.43 | -- | -- | 2026 |
| Maryland | $0.50 | -- | -- | 2026 |
| Maine | $0.16 | -- | -- | 2026 |
| Michigan | $0.38 | -- | -- | 2026 |
| Minnesota | $0.40 | -- | Conditional | 2026 |
| Montana | $0.27 | -- | Not required | 2026 |
| Nebraska | $0.62 | -- | -- | 2026 |
| New Hampshire | $0.19 | -- | Required | 2026 |
| Nevada | $0.41 | -- | -- | 2011 |
| Ohio | $0.28 | -- | -- | 2005 |
| Oklahoma | $0.38 | -- | -- | 2020 |
| Pennsylvania | $0.19 | -- | -- | 2013 |
| Virginia | $30.00 | -- | -- | 2014 |
| Vermont | $0.19 | -- | -- | 2026 |
| Wyoming | $0.45* | -- | -- | 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
- 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 T4542?
19 state Medicaid programs publish a fee-for-service rate for T4542 (incontinence product, disposable underpad, small size, each), ranging from $0.16 in Maine to $30.00 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for T4542?
Virginia publishes the highest Medicaid rate for T4542 at $30.00. Maine publishes the lowest at $0.16.
Does T4542 require prior authorization under Medicaid?
3 of the 19 publishing states flag T4542 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".