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A0433 Medicaid reimbursement rate by state (2026)

Advanced life support, level 2 (als 2). Medicaid pays a median of $481.79 for A0433 across 39 states, from $118.20 in California to $1,072.47 in New Mexico.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
39
National median
$481.79units vary by state
Lowest
$118.20California
Highest
$1,072.47New Mexico

What does Medicaid pay for A0433?

39 state Medicaid programs publish a fee-for-service rate for A0433 at the physician psychologist level. The national median is $481.79 (units differ between states). New Mexico pays the most, $1,072.47 per one time, and California the least, $118.20, a 9.1x spread.

A0433 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 39 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$1,072.47one time—Plans must pay at least this—
2Louisiana Source · since 2023-07-01$1,024.45——Plans must pay at least this—
3Pennsylvania Source · since 2024-01-01$966.01——Plans must pay at least this—
19Massachusetts Source · since 2025-09-26$574.40——Plans negotiate; applies out of network—
20Nevada Source · since 2013-07-01$481.79——Paid by the state, outside plans—
21Georgia Source · since 2026-10-01$439.52——Plans negotiate; applies out of network—
38North Carolina Source · since 2025-10-01$129.36——Plans negotiate; applies out of network—
39California Source · since 2026-10-01$118.20——Plans negotiate; applies out of network—
See all 39 states for A0433 — start free

31 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track A0433 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A0433?

It depends on the state. Of the 39 states with a published fee-for-service rate, the median is $481.79. New Mexico pays the most ($1,072.47 per one time) and California the least ($118.20).

Which state pays the highest Medicaid rate for A0433?

New Mexico, at $1,072.47 per one time, effective 2025-01-01.

Do managed-care plans pay the same rate for A0433?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.