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A4336 Medicaid reimbursement rates by state

Incontinence supply, urethral insert, any type, each. 16 state Medicaid programs publish a fee-for-service rate for A4336 at the nurse midwife level. Rates run from $0.51 in Kansas to $2.21 in Arizona, with a median of $1.67.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
16
Median rate
$1.67units vary by state
Highest
$2.21Arizona
Medicare (non-facility)
—not on the physician fee schedule

A4336 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$2.21since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$2.05since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$2.05since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$2.05since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$2.01since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1.89since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$1.78since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1.67since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$1.67since 2024-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$1.64since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1.59since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1.54since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$1.47since 2024-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1.36since 2011-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$1.25since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$0.51since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A4336?

It depends on the state. Of the 16 states with a published fee-for-service rate, the median is $1.67. Arizona pays the most ($2.21) and Kansas the least ($0.51).

Which state pays the highest Medicaid rate for A4336?

Arizona, at $2.21, effective 2026-10-01.

Do managed-care plans pay the same rate for A4336?

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 table shows the rule for each state, cited to the contract or statute.

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