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A4235 Medicaid reimbursement rates by state

Replacement battery, lithium. 35 state Medicaid programs publish a fee-for-service rate for A4235 at the physician psychologist level. Rates run from $0.70 in New Jersey to $5.85 in New Hampshire, with a median of $1.06.

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

States publishing
35
Median rate
$1.06units vary by state
Highest
$5.85New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

A4235 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
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$5.85⚠ over 3× mediansince 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$3.73⚠ over 3× mediansince 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$3.00since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$2.47since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$2.36since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$2.28since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$2.15since 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$2.11since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$2.08since 2012-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1.99since 2007-05-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$1.97since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1.90since 2024-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$1.87since 2007-01-02——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$1.44since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1.29since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1.07since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1.06since 2021-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1.06since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1.00since 2024-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule (Wayback capture 20250
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1.00since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1.00since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$1.00since 2019-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$1.00since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$1.00since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$1.00since 2022-07-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$1.00since 2023-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$1.00since 2024-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$1.00since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$0.86since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$0.86since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$0.85since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$0.83since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$0.80since 2020-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, May 2023
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$0.80since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$0.70since 2019-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS

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 A4235?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $1.06. New Hampshire pays the most ($5.85) and New Jersey the least ($0.70).

Which state pays the highest Medicaid rate for A4235?

New Hampshire, at $5.85, effective 2021-01-01.

Do managed-care plans pay the same rate for A4235?

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.

Related Equipment & supplies codes

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