Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for T4543. 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
35
Median % of Medicare
--
Rate range
$0.01 - $2.50
T4543 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $2.00 | -- | -- | 2026 |
| Arkansas | $1.07 | -- | -- | 2026 |
| Colorado | $1.64 | -- | -- | 2026 |
| Connecticut | $1.30 | -- | Required | 2011 |
| District of Columbia | $1.44 | -- | Required | 2026 |
| Delaware | $1.02 | -- | -- | 2026 |
| Iowa | $0.76 | -- | -- | 2024 |
| Idaho | $0.73 | -- | Not required | 2025 |
| Illinois | $1.56 | -- | -- | 2026 |
| Indiana | $1.75 | -- | -- | 2014 |
| Kansas | $0.70 | -- | -- | 2017 |
| Kentucky | $1.54 | -- | -- | 2026 |
| Louisiana | $1.46 | -- | -- | 2026 |
| Massachusetts | $1.29 | -- | -- | 2026 |
| Maryland | $1.75 | -- | -- | 2026 |
| Maine | $1.66 | -- | -- | 2026 |
| Michigan | $1.72 | -- | -- | 2026 |
| Minnesota | $1.92 | -- | Conditional | 2026 |
| Missouri | $0.01 | -- | Varies | 2016 |
| Mississippi | $1.34* | -- | -- | 2026 |
| Montana | $2.07 | -- | Not required | 2026 |
| North Carolina | $1.29 | -- | -- | 2025 |
| Nebraska | $1.23 | -- | -- | 2026 |
| New Hampshire | $0.97 | -- | Required | 2026 |
| Nevada | $1.95 | -- | -- | 2011 |
| New York | $1.39 | -- | -- | 2026 |
| Ohio | $2.12 | -- | -- | 2010 |
| Pennsylvania | $1.62 | -- | -- | 2008 |
| South Carolina | $1.40 | -- | -- | 2023 |
| Texas | $0.94* | -- | -- | 2012 |
| Utah | $2.50* | -- | Not required | 2009 |
| Virginia | $1.40 | -- | -- | 2014 |
| Vermont | $1.39 | -- | -- | 2026 |
| Washington | $1.93 | -- | -- | 2026 |
| Wyoming | $1.70 | -- | -- | 2026 |
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 T4543?
35 state Medicaid programs publish a fee-for-service rate for T4543 (adult sized disposable incontinence product, protective brief/diaper, above extra large, each), ranging from $0.01 in Missouri to $2.50 in Utah. The full table on this page lists every publishing state's current rate.
Which state pays the most for T4543?
Utah publishes the highest Medicaid rate for T4543 at $2.50. Missouri publishes the lowest at $0.01.
Does T4543 require prior authorization under Medicaid?
4 of the 35 publishing states flag T4543 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".