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Billing code A4224 · Equipment & supplies

A4224 Medicaid reimbursement rate by state (2026)

Supplies for maintenance of insulin infusion catheter. Medicaid pays a median of $23.28 for A4224 across 44 states, from $14.28 in New Hampshire to $38.66 in North Dakota.

Data as of Oct 5, 202644 statesEvery rate links to its official source

States publishing
44
National median
$23.28units vary by state
Lowest
$14.28New Hampshire
Highest
$38.66North Dakota
Answer

What does Medicaid pay for A4224?

44 state Medicaid programs publish a fee-for-service rate for A4224. The national median is $23.28 (units differ between states). North Dakota pays the most, $38.66, and New Hampshire the least, $14.28, a 2.7x spread.

State ranking

A4224 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$38.66——Not classified—
2Ohio Source · since 2024-01-01$32.00Set—Plans negotiate; applies out of network—
3Arizona Source · since 2023-04-01$30.60——Plans negotiate; applies out of network—
22Virginia Source · since 2026-01-01$23.281 unit=1 week—Plans must pay at least this—
23Missouri Source · since 2018-07-01$23.27——Plans negotiate; applies out of network—
24Mississippi Source · since 2026-07-01$23.26——Plans must pay at least this—
43Rhode Island Source · since 2017-01-01$16.49——Plans negotiate; applies out of network—
44New Hampshire Source · since 2025-01-01$14.28——Not classified—
See all 44 states for A4224 — start free

36 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.

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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 A4224 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A4224?

It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $23.28. North Dakota pays the most ($38.66) and New Hampshire the least ($14.28).

Which state pays the highest Medicaid rate for A4224?

North Dakota, at $38.66, effective 2026-07-01.

Do managed-care plans pay the same rate for A4224?

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.