A4209 Medicaid reimbursement rate by state (2026)
Syringe with needle, sterile 5 cc or greater, each. Medicaid pays a median of $0.36 for A4209 across 41 states, from $0.21 in Hawaii to $1.08 in Arkansas.
- States publishing
- 41
- National median
- $0.36units vary by state
- Lowest
- $0.21Hawaii
- Highest
- $1.08Arkansas
What does Medicaid pay for A4209?
41 state Medicaid programs publish a fee-for-service rate for A4209. The national median is $0.36 (units differ between states). Arkansas pays the most, $1.08, and Hawaii the least, $0.21, a 5.1x spread.
A4209 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4209?
It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $0.36. Arkansas pays the most ($1.08) and Hawaii the least ($0.21).
Which state pays the highest Medicaid rate for A4209?
Arkansas, at $1.08, effective 2025-05-16.
Do managed-care plans pay the same rate for A4209?
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.