A4290 Medicaid reimbursement rate by state (2026)
Sacral nerve stimulation test lead, each. Medicaid pays a median of $136.28 for A4290 across 6 states, from $27.21 in Kansas to $490.36 in Texas.
- States publishing
- 6
- National median
- $136.28units vary by state
- Lowest
- $27.21Kansas
- Highest
- $490.36Texas
What does Medicaid pay for A4290?
6 state Medicaid programs publish a fee-for-service rate for A4290. The national median is $136.28 (units differ between states). Texas pays the most, $490.36, and Kansas the least, $27.21, a 18.0x spread.
A4290 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4290?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $136.28. Texas pays the most ($490.36) and Kansas the least ($27.21).
Which state pays the highest Medicaid rate for A4290?
Texas, at $490.36, effective 2017-04-01.
Do managed-care plans pay the same rate for A4290?
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.