A4297 Medicaid reimbursement rate by state (2026)
Intermittent urinary catheter; hydrophilic coating. Medicaid pays a median of $8.98 for A4297 across 38 states, from $5.68 in New York to $11.03 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 38
- National median
- $8.98units vary by state
- Lowest
- $5.68New York
- Highest
- $11.03North Dakota
What does Medicaid pay for A4297?
38 state Medicaid programs publish a fee-for-service rate for A4297 at the physician psychologist level. The national median is $8.98 (units differ between states). North Dakota pays the most, $11.03, and New York the least, $5.68, a 1.9x spread.
A4297 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 38 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4297?
It depends on the state. Of the 38 states with a published fee-for-service rate, the median is $8.98. North Dakota pays the most ($11.03) and New York the least ($5.68).
Which state pays the highest Medicaid rate for A4297?
North Dakota, at $11.03, effective 2026-02-08.
Do managed-care plans pay the same rate for A4297?
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.