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Billing code A4282 · Equipment & supplies

A4282 Medicaid reimbursement rate by state (2026)

Adapter for breast pump, replacement. Medicaid pays a median of $8.49 for A4282 across 16 states, from $0.57 in Colorado to $28.35 in Massachusetts.

Data as of Oct 5, 202616 statesEvery rate links to its official source

States publishing
16
National median
$8.49units vary by state
Lowest
$0.57Colorado
Highest
$28.35Massachusetts
Answer

What does Medicaid pay for A4282?

16 state Medicaid programs publish a fee-for-service rate for A4282. The national median is $8.49 (units differ between states). Massachusetts pays the most, $28.35, and Colorado the least, $0.57, a 49.7x spread.

State ranking

A4282 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 16 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Massachusetts Source · since 2026-03-01$28.35——Plans negotiate; applies out of network—
2Pennsylvania Source · since 2008-01-01$22.70——Plans negotiate; applies out of network—
3Missouri Source · since 2025-10-01$19.96——Plans negotiate; applies out of network—
8Maine Source · since 2026-01-01$9.49——Not classified—
9Arizona Source · since 2026-10-01$7.49——Plans negotiate; applies out of network—
10Vermont Source · since 2023-03-01$6.57——Not classified—
15Nevada Source · since 2025-01-01$0.62——Plans negotiate; applies out of network—
16Colorado Source · since 2022-07-01$0.57——Not classified—
See all 16 states for A4282 — start free

8 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 A4282 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 A4282?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $8.49. Massachusetts pays the most ($28.35) and Colorado the least ($0.57).

Which state pays the highest Medicaid rate for A4282?

Massachusetts, at $28.35, effective 2026-03-01.

Do managed-care plans pay the same rate for A4282?

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.