A4281 Medicaid reimbursement rate by state (2026)
Tubing for breast pump, replacement. Medicaid pays a median of $4.75 for A4281 across 17 states, from $2.87 in Colorado to $19.18 in Massachusetts.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 17
- National median
- $4.75units vary by state
- Lowest
- $2.87Colorado
- Highest
- $19.18Massachusetts
What does Medicaid pay for A4281?
17 state Medicaid programs publish a fee-for-service rate for A4281 at the nurse midwife level. The national median is $4.75 (units differ between states). Massachusetts pays the most, $19.18, and Colorado the least, $2.87, a 6.7x spread.
A4281 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4281?
It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $4.75. Massachusetts pays the most ($19.18) and Colorado the least ($2.87).
Which state pays the highest Medicaid rate for A4281?
Massachusetts, at $19.18, effective 2026-03-01.
Do managed-care plans pay the same rate for A4281?
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.