A4218 Medicaid reimbursement rate by state (2026)
Sterile saline or water, metered dose dispenser, 10 ml. Medicaid pays a median of $0.48 for A4218 across 12 states, from $0.28 in Colorado to $2.25 in Maryland.
- States publishing
- 12
- National median
- $0.48units vary by state
- Lowest
- $0.28Colorado
- Highest
- $2.25Maryland
What does Medicaid pay for A4218?
12 state Medicaid programs publish a fee-for-service rate for A4218. The national median is $0.48 (units differ between states). Maryland pays the most, $2.25, and Colorado the least, $0.28, a 8.0x spread.
A4218 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 12 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4218?
It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $0.48. Maryland pays the most ($2.25) and Colorado the least ($0.28).
Which state pays the highest Medicaid rate for A4218?
Maryland, at $2.25, effective 2013-07-01.
Do managed-care plans pay the same rate for A4218?
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.