| Code | Description | States | Median rate |
|---|---|---|---|
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 36 | $0.28 |
| A4207 | Syringe with needle, sterile 2 cc, each | 35 | $0.29 |
| A4208 | Syringe with needle, sterile 3 cc, each | 34 | $0.25 |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | 35 | $0.31 |
| A4210 | Needle-free injection device, each | 21 | $1.74 |
| A4212 | Non-coring needle or stylet with or without catheter | 28 | $5.29 |
| A4213 | Syringe, sterile, 20 cc or greater, each | 38 | $0.82 |
| A4215 | Needle, sterile, any size, each | 33 | $0.24 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | 37 | $0.51 |
| A4217 | Sterile water/saline, 500 ml | 43 | $3.18 |
| A4220 | Refill kit for implantable infusion pump | 12 | $72.05 |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 37 | $22.87 |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 39 | $43.80 |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 20 | $16.16 |
| A4224 | Supplies for maintenance of insulin infusion catheter, per week | 39 | $21.79 |
| A4225 | Supplies for external insulin infusion pump, syringe type cartridge, sterile, each | 33 | $2.85 |
| A4230 | Infusion set for external insulin pump, non needle cannula type | 35 | $11.68 |
| A4231 | Infusion set for external insulin pump, needle type | 33 | $7.03 |
| A4232 | Syringe with needle for external insulin pump, sterile, 3 cc | 35 | $2.83 |
| A4233 | Replacement battery, alkaline (other than j cell), for use with medically necessary home blood glucose monitor owned by patient, each | 36 | $0.59 |
| A4234 | Replacement battery, alkaline, j cell, for use with medically necessary home blood glucose monitor owned by patient, each | 37 | $2.49 |
| A4235 | Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each | 37 | $1.08 |
| A4236 | Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each | 36 | $1.22 |
| A4238 | Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 26 | $255.83 |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 30 | $251.61 |
| A4244 | Alcohol or peroxide, per pint | 35 | $1.00 |
| A4245 | Alcohol wipes, per box | 34 | $2.25 |
| A4246 | Betadine or phisohex solution, per pint | 35 | $6.92 |
| A4247 | Betadine or iodine swabs/wipes, per box | 36 | $7.00 |
| A4250 | Urine test or reagent strips or tablets (100 tablets or strips) | 30 | $18.59 |
| A4252 | Blood ketone test or reagent strip, each | 10 | $4.50 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 33 | $8.32 |
| A4255 | Platforms for home blood glucose monitor, 50 per box | 21 | $4.93 |
| A4256 | Normal, low and high calibrator solution / chips | 29 | $3.46 |
| A4257 | Replacement lens shield cartridge for use with laser skin piercing device, each | 12 | $17.83 |
| A4258 | Spring-powered device for lancet, each | 31 | $2.12 |
| A4259 | Lancets, per box of 100 | 33 | $1.42 |
| A4261 | Cervical cap for contraceptive use | 17 | $48.98 |
| A4263 | Permanent, long term, non-dissolvable lacrimal duct implant, each | 11 | $31.60 |
| A4264 | Permanent implantable contraceptive intratubal occlusion device(s) and delivery system | 11 | $1,400.00 |
| A4265 | Paraffin, per pound | 28 | $4.07 |
| A4266 | Diaphragm for contraceptive use | 26 | $26.73 |
| A4267 | Contraceptive supply, condom, male, each | 32 | $0.40 |
| A4268 | Contraceptive supply, condom, female, each | 31 | $2.47 |
| A4269 | Contraceptive supply, spermicide (e.g., foam, gel), each | 19 | $7.81 |
| A4271 | Integrated lancing and blood sample testing cartridges for home blood glucose monitor, per 50 tests | 14 | $32.06 |
| A4280 | Adhesive skin support attachment for use with external breast prosthesis, each | 32 | $6.12 |
| A4281 | Tubing for breast pump, replacement | 15 | $4.65 |
| A4282 | Adapter for breast pump, replacement | 13 | $9.49 |
| A4283 | Cap for breast pump bottle, replacement | 15 | $1.57 |
| A4284 | Breast shield and splash protector for use with breast pump, replacement | 16 | $8.84 |
| A4285 | Polycarbonate bottle for use with breast pump, replacement | 15 | $4.15 |
| A4286 | Locking ring for breast pump, replacement | 13 | $2.10 |
| A4287 | Disposable collection and storage bag for breast milk, any size, any type, each | 18 | $0.25 |
| A4295 | Intermittent urinary catheter; straight tip, hydrophilic coating, each | 35 | $2.19 |
| A4296 | Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each | 35 | $7.78 |
| A4297 | Intermittent urinary catheter; hydrophilic coating, with insertion supplies | 33 | $8.99 |
| A4300 | Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access | 11 | $13.06 |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | 19 | $13.03 |
| A4306 | Disposable drug delivery system, flow rate of less than 50 ml per hour | 19 | $18.41 |
| A4310 | Insertion tray without drainage bag and without catheter (accessories only) | 43 | $8.08 |
| A4311 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 43 | $14.88 |
| A4312 | Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone | 39 | $18.38 |
| A4313 | Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation | 40 | $19.06 |
| A4314 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) | 42 | $26.03 |
| A4315 | Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone | 42 | $27.39 |
| A4316 | Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation | 40 | $30.42 |
| A4320 | Irrigation tray with bulb or piston syringe, any purpose | 44 | $5.72 |
| A4322 | Irrigation syringe, bulb or piston, each | 43 | $3.32 |
| A4326 | Male external catheter with integral collection chamber, any type, each | 40 | $11.82 |
| A4327 | Female external urinary collection device; meatal cup, each | 39 | $48.60 |
| A4328 | Female external urinary collection device; pouch, each | 40 | $11.12 |
| A4330 | Perianal fecal collection pouch with adhesive, each | 34 | $7.81 |
| A4331 | Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each | 41 | $3.52 |
| A4332 | Lubricant, individual sterile packet, each | 37 | $0.13 |
| A4333 | Urinary catheter anchoring device, adhesive skin attachment, each | 39 | $2.54 |
| A4334 | Urinary catheter anchoring device, leg strap, each | 37 | $5.69 |
| A4335 | Incontinence supply; miscellaneous | 11 | $1.23 |
| A4336 | Incontinence supply, urethral insert, any type, each | 16 | $1.84 |
| A4338 | Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each | 44 | $12.78 |
| A4340 | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each | 42 | $31.23 |
| A4341 | Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each | 17 | $295.98 |
| A4342 | Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each | 16 | $758.64 |
| A4344 | Indwelling catheter, foley type, two-way, all silicone or polyurethane, each | 44 | $16.38 |
| A4346 | Indwelling catheter; foley type, three way for continuous irrigation, each | 38 | $19.89 |
| A4349 | Male external catheter, with or without adhesive, disposable, each | 45 | $2.26 |
| A4351 | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each | 44 | $1.86 |
| A4352 | Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each | 45 | $6.83 |
| A4353 | Intermittent urinary catheter, with insertion supplies | 44 | $7.98 |
| A4354 | Insertion tray with drainage bag but without catheter | 44 | $12.34 |
| A4355 | Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each | 40 | $9.33 |
| A4356 | External urethral clamp or compression device (not to be used for catheter clamp), each | 39 | $45.52 |
| A4357 | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each | 43 | $10.29 |
| A4358 | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each | 44 | $6.93 |
| A4360 | Disposable external urethral clamp or compression device, with pad and/or pouch, each | 21 | $0.51 |
| A4361 | Ostomy faceplate, each | 43 | $19.57 |
| A4362 | Skin barrier; solid, 4 x 4 or equivalent; each | 43 | $3.72 |
| A4363 | Ostomy clamp, any type, replacement only, each | 40 | $2.69 |
| A4364 | Adhesive, liquid or equal, any type, per oz | 43 | $3.22 |
| A4366 | Ostomy vent, any type, each | 38 | $1.50 |
| A4367 | Ostomy belt, each | 43 | $8.13 |
| A4368 | Ostomy filter, any type, each | 39 | $0.29 |
| A4369 | Ostomy skin barrier, liquid (spray, brush, etc.), per oz | 43 | $2.45 |
| A4371 | Ostomy skin barrier, powder, per oz | 44 | $4.15 |
| A4372 | Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each | 40 | $4.74 |
| A4373 | Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each | 42 | $7.10 |
| A4375 | Ostomy pouch, drainable, with faceplate attached, plastic, each | 41 | $19.29 |
| A4376 | Ostomy pouch, drainable, with faceplate attached, rubber, each | 40 | $54.25 |
| A4377 | Ostomy pouch, drainable, for use on faceplate, plastic, each | 41 | $4.85 |
| A4378 | Ostomy pouch, drainable, for use on faceplate, rubber, each | 41 | $35.06 |
| A4379 | Ostomy pouch, urinary, with faceplate attached, plastic, each | 41 | $16.86 |
| A4380 | Ostomy pouch, urinary, with faceplate attached, rubber, each | 41 | $42.56 |
| A4381 | Ostomy pouch, urinary, for use on faceplate, plastic, each | 41 | $5.27 |
| A4382 | Ostomy pouch, urinary, for use on faceplate, heavy plastic, each | 42 | $28.07 |
| A4383 | Ostomy pouch, urinary, for use on faceplate, rubber, each | 41 | $31.65 |
| A4384 | Ostomy faceplate equivalent, silicone ring, each | 41 | $10.95 |
| A4385 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each | 41 | $5.81 |
| A4387 | Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each | 39 | $2.88 |
| A4388 | Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each | 41 | $4.97 |
| A4389 | Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each | 42 | $7.07 |
| A4390 | Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each | 42 | $10.78 |
| A4391 | Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each | 43 | $8.06 |
| A4392 | Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each | 41 | $9.32 |
| A4393 | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each | 43 | $10.30 |
| A4394 | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce | 40 | $2.95 |
| A4395 | Ostomy deodorant for use in ostomy pouch, solid, per tablet | 39 | $0.05 |
| A4396 | Ostomy belt with peristomal hernia support | 38 | $46.15 |
| A4398 | Ostomy irrigation supply; bag, each | 43 | $15.69 |
| A4399 | Ostomy irrigation supply; cone/catheter, with or without brush | 40 | $12.75 |
| A4400 | Ostomy irrigation set | 40 | $50.21 |
| A4402 | Lubricant, per ounce | 43 | $1.79 |
| A4404 | Ostomy ring, each | 44 | $1.83 |
| A4405 | Ostomy skin barrier, non-pectin based, paste, per ounce | 42 | $3.90 |
| A4406 | Ostomy skin barrier, pectin-based, paste, per ounce | 44 | $6.43 |
| A4407 | Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each | 43 | $9.81 |
| A4408 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each | 43 | $11.26 |
| A4409 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each | 42 | $7.07 |
| A4410 | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each | 43 | $10.30 |
| A4411 | Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each | 39 | $5.81 |
| A4412 | Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each | 41 | $3.11 |
| A4413 | Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each | 41 | $6.28 |
| A4414 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each | 44 | $5.61 |
| A4415 | Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each | 42 | $6.84 |
| A4416 | Ostomy pouch, closed, with barrier attached, with filter (1 piece), each | 44 | $3.14 |
| A4417 | Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each | 41 | $4.25 |
| A4418 | Ostomy pouch, closed; without barrier attached, with filter (1 piece), each | 41 | $2.06 |
| A4419 | Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each | 42 | $1.97 |
| A4420 | Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each | 19 | $1.57 |
| A4421 | Ostomy supply; miscellaneous | 11 | $4.68 |
| A4422 | Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each | 37 | $0.13 |
| A4423 | Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each | 42 | $2.11 |
| A4424 | Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each | 44 | $5.42 |
| A4425 | Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each | 44 | $4.05 |
| A4426 | Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each | 43 | $3.11 |
| A4427 | Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each | 42 | $3.18 |
| A4428 | Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each | 43 | $7.43 |
| A4429 | Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each | 41 | $9.41 |
| A4430 | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each | 42 | $9.71 |
| A4431 | Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each | 40 | $7.07 |
| A4432 | Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each | 42 | $4.09 |
| A4433 | Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each | 42 | $3.82 |
| A4434 | Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each | 41 | $4.29 |
| A4435 | Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each | 34 | $6.57 |
| A4436 | Irrigation supply; sleeve, reusable, per month | 32 | $21.86 |
| A4437 | Irrigation supply; sleeve, disposable, per month | 31 | $21.86 |
| A4438 | Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each | 15 | $1.86 |
| A4450 | Tape, non-waterproof, per 18 square inches | 42 | $0.09 |
| A4452 | Tape, waterproof, per 18 square inches | 42 | $0.42 |
| A4453 | Rectal catheter with or without balloon, for use with any type transanal irrigation system, each | 16 | $17.57 |
| A4455 | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce | 41 | $1.62 |
| A4456 | Adhesive remover, wipes, any type, each | 39 | $0.28 |
| A4458 | Enema bag with tubing, reusable | 13 | $4.55 |
| A4459 | Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type | 16 | $187.86 |
| A4461 | Surgical dressing holder, non-reusable, each | 32 | $3.83 |
| A4463 | Surgical dressing holder, reusable, each | 29 | $15.18 |
| A4465 | Non-elastic binder for extremity | 13 | $10.49 |
| A4481 | Tracheostoma filter, any type, any size, each | 33 | $0.44 |
| A4483 | Moisture exchanger, disposable, for use with invasive mechanical ventilation | 24 | $4.17 |
| A4490 | Surgical stockings above knee length, each | 23 | $15.25 |
| A4495 | Surgical stockings thigh length, each | 27 | $19.54 |
| A4500 | Surgical stockings below knee length, each | 29 | $15.56 |
| A4510 | Surgical stockings full length, each | 25 | $20.50 |
| A4542 | Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist | 10 | $419.84 |
| A4544 | Electrode for external lower extremity nerve stimulator for restless legs syndrome | 12 | $5.12 |
| A4550 | Surgical trays | 16 | $9.55 |
| A4554 | Disposable underpads, all sizes | 22 | $0.36 |
| A4556 | Electrodes, (e.g., apnea monitor), per pair | 35 | $12.07 |
| A4557 | Lead wires, (e.g., apnea monitor), per pair | 36 | $16.05 |
| A4558 | Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz | 34 | $5.61 |
| A4559 | Coupling gel or paste, for use with ultrasound device, per oz | 12 | $0.12 |
| A4561 | Pessary, reusable, rubber, any type | 36 | $24.00 |
| A4562 | Pessary, reusable, non rubber, any type | 36 | $58.06 |
| A4563 | Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each | 13 | $1,233.16 |
| A4565 | Slings | 38 | $9.48 |
| A4570 | Splint | 24 | $16.32 |
| A4580 | Cast supplies (e.g., plaster) | 13 | $15.92 |
| A4590 | Special casting material (e.g., fiberglass) | 15 | $27.63 |
| A4595 | Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) | 31 | $18.60 |
| A4602 | Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each | 19 | $4.59 |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 35 | $55.00 |
| A4605 | Tracheal suction catheter, closed system, each | 40 | $17.88 |
| A4606 | Oxygen probe for use with oximeter device, replacement | 30 | $30.00 |
| A4608 | Transtracheal oxygen catheter, each | 26 | $59.94 |
| A4611 | Battery, heavy duty; replacement for patient owned ventilator | 27 | $174.26 |
| A4612 | Battery cables; replacement for patient-owned ventilator | 27 | $65.61 |
| A4613 | Battery charger; replacement for patient-owned ventilator | 26 | $130.69 |
| A4614 | Peak expiratory flow rate meter, hand held | 38 | $27.36 |
| A4615 | Cannula, nasal | 33 | $0.87 |
| A4616 | Tubing (oxygen), per foot | 29 | $0.07 |
| A4617 | Mouth piece | 27 | $3.76 |
| A4618 | Breathing circuits | 34 | $9.33 |
| A4619 | Face tent | 33 | $2.12 |
| A4620 | Variable concentration mask | 33 | $0.74 |
| A4623 | Tracheostomy, inner cannula | 44 | $6.75 |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 43 | $2.63 |
| A4625 | Tracheostomy care kit for new tracheostomy | 40 | $7.05 |
| A4626 | Tracheostomy cleaning brush, each | 33 | $3.63 |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 30 | $27.37 |
| A4628 | Oral and/or oropharyngeal suction catheter, each | 42 | $3.88 |
| A4629 | Tracheostomy care kit for established tracheostomy | 44 | $5.27 |
| A4630 | Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient | 28 | $7.01 |
| A4633 | Replacement bulb/lamp for ultraviolet light therapy system, each | 19 | $49.03 |
| A4635 | Underarm pad, crutch, replacement, each | 44 | $4.95 |
| A4636 | Replacement, handgrip, cane, crutch, or walker, each | 43 | $3.57 |
| A4637 | Replacement, tip, cane, crutch, walker, each. | 43 | $1.93 |
| A4639 | Replacement pad for infrared heating pad system, each | 12 | $287.21 |
| A4640 | Replacement pad for use with medically necessary alternating pressure pad owned by patient | 42 | $53.93 |
| A4657 | Syringe, with or without needle, each | 21 | $0.46 |
| A4660 | Sphygmomanometer/blood pressure apparatus with cuff and stethoscope | 29 | $34.40 |
| A4663 | Blood pressure cuff only | 25 | $22.88 |
| A4670 | Automatic blood pressure monitor | 35 | $58.29 |
| A4750 | Blood tubing, arterial or venous, for hemodialysis, each | 10 | $7.10 |
| A4772 | Blood glucose test strips, for dialysis, per 50 | 14 | $46.95 |
| A4927 | Gloves, non-sterile, per 100 | 40 | $8.58 |
| A4928 | Surgical mask, per 20 | 11 | $7.44 |
| A4930 | Gloves, sterile, per pair | 30 | $0.70 |
| A4931 | Oral thermometer, reusable, any type, each | 16 | $3.01 |
| A4932 | Rectal thermometer, reusable, any type, each | 14 | $3.06 |
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. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.