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Billing code A4245 · Equipment & supplies

A4245 Medicaid reimbursement rate by state (2026)

Alcohol wipes, per box. Medicaid pays a median of $2.68 for A4245 across 38 states, from $0.03 in Louisiana to $10.00 in Delaware.

Data as of Oct 5, 202638 statesEvery rate links to its official source

States publishing
38
National median
$2.68units vary by state
Lowest
$0.03Louisiana
Highest
$10.00Delaware
Answer

What does Medicaid pay for A4245?

38 state Medicaid programs publish a fee-for-service rate for A4245. The national median is $2.68 (units differ between states). Delaware pays the most, $10.00, and Louisiana the least, $0.03, a 333.3x spread.

State ranking

A4245 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Delaware Source · since 2024-01-01$10.00——Plans negotiate; applies out of network—
2Minnesota Source · since 2026-01-01$8.00——Plans negotiate; applies out of network—
3Arizona Source · since 2021-10-01$7.26——Plans negotiate; applies out of network—
19Oregon Source · since 2012-07-01$2.86——Plans negotiate; applies out of network—
20Alabama Source · since 2026-05-27$2.50——Not classified—
21Nevada Source · since 2024-01-01$2.49——Plans must pay at least this—
37Iowa Source · since 2024-07-01$0.05——State sets the plan rate—
38Louisiana Source · since 2021-09-01$0.03——Plans must pay at least this—
See all 38 states for A4245 — start free

30 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 A4245 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 A4245?

It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $2.68. Delaware pays the most ($10.00) and Louisiana the least ($0.03).

Which state pays the highest Medicaid rate for A4245?

Delaware, at $10.00, effective 2024-01-01.

Do managed-care plans pay the same rate for A4245?

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.