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A4265 Medicaid reimbursement rate by state (2026)

Paraffin, per pound. Medicaid pays a median of $4.07 for A4265 across 31 states, from $1.22 in Kansas to $13.13 in Arkansas.

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

States publishing
31
National median
$4.07units vary by state
Lowest
$1.22Kansas
Highest
$13.13Arkansas

What does Medicaid pay for A4265?

31 state Medicaid programs publish a fee-for-service rate for A4265 at the dietitian level. The national median is $4.07 (units differ between states). Arkansas pays the most, $13.13, and Kansas the least, $1.22, a 10.8x spread.

A4265 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-05-16$13.13——Not classified—
2New Hampshire Source · since 2021-01-01$6.38——Not classified—
3Arizona Source · since 2023-04-01$5.50——Plans negotiate; applies out of network—
15Florida Source · since 2026-07-01$4.16——Plans negotiate; applies out of network—
16Vermont Source · since 2025-01-01$4.07——Not classified—
17Massachusetts Source · since 2026-03-01$3.95——Plans negotiate; applies out of network—
30Michigan Source · since 2023-01-01$2.41——Plans negotiate; applies out of network—
31Kansas Source · since 2026-07-01$1.22——Not classified—
See all 31 states for A4265 — start free

23 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.

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 A4265 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A4265?

It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $4.07. Arkansas pays the most ($13.13) and Kansas the least ($1.22).

Which state pays the highest Medicaid rate for A4265?

Arkansas, at $13.13, effective 2025-05-16.

Do managed-care plans pay the same rate for A4265?

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.