A4266 Medicaid reimbursement rate by state (2026)
Diaphragm for contraceptive use. Medicaid pays a median of $28.00 for A4266 across 29 states, from $5.40 in Connecticut to $80.00 in Oregon.
- States publishing
- 29
- National median
- $28.00units vary by state
- Lowest
- $5.40Connecticut
- Highest
- $80.00Oregon
What does Medicaid pay for A4266?
29 state Medicaid programs publish a fee-for-service rate for A4266. The national median is $28.00 (units differ between states). Oregon pays the most, $80.00, and Connecticut the least, $5.40, a 14.8x spread.
A4266 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 29 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4266?
It depends on the state. Of the 29 states with a published fee-for-service rate, the median is $28.00. Oregon pays the most ($80.00) and Connecticut the least ($5.40).
Which state pays the highest Medicaid rate for A4266?
Oregon, at $80.00, effective 2015-01-01.
Do managed-care plans pay the same rate for A4266?
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.