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A4208 Medicaid reimbursement rates by state

Syringe with needle, sterile 3 cc, each. 36 state Medicaid programs publish a fee-for-service rate for A4208 at the physician psychologist level. Rates run from $0.01 in Missouri to $1.35 in Minnesota, with a median of $0.245.

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

States publishing
36
Median rate
$0.245units vary by state
Highest
$1.35Minnesota
Medicare (non-facility)
—not on the physician fee schedule

A4208 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1.35⚠ over 3× mediansince 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$0.48since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$0.43since 2021-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$0.42since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$0.41since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP)$0.35since 2015-01-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - In Ho
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$0.32since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$0.31since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$0.30since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$0.30since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$0.29since 2005-12-12——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$0.29since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$0.28since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Home Health fee schedule (20
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$0.28since 2025-10-01each—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Home Health Se
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$0.28since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$0.27since 2010-02-01——Plans negotiate; applies out of network—HFS Practitioner Fee Schedule (effective
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$0.25since 2010-07-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$0.25since 2020-08-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$0.24since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$0.23since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$0.23since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$0.22since 2024-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$0.22since 2007-06-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$0.20since 2013-07-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$0.20since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$0.19since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$0.18since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$0.17since 1990-05-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$0.17since 2004-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$0.16since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$0.16since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$0.15since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$0.14since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$0.14since 2003-10-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$0.13since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$0.01since 2003-10-16——Plans negotiate; applies out of network—MO HealthNet fee schedule: Home Health

Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A4208?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $0.245. Minnesota pays the most ($1.35) and Missouri the least ($0.01).

Which state pays the highest Medicaid rate for A4208?

Minnesota, at $1.35, effective 2026-01-01.

Do managed-care plans pay the same rate for A4208?

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 table shows the rule for each state, cited to the contract or statute.

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