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A4338 Medicaid reimbursement rate by state (2026)

Indwelling catheter; foley type, two-way latex with coating. Medicaid pays a median of $13.40 for A4338 across 48 states, from $1.35 in New York to $21.37 in North Dakota.

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

States publishing
48
National median
$13.40units vary by state
Lowest
$1.35New York
Highest
$21.37North Dakota

What does Medicaid pay for A4338?

48 state Medicaid programs publish a fee-for-service rate for A4338 at the physician psychologist level. The national median is $13.40 (units differ between states). North Dakota pays the most, $21.37, and New York the least, $1.35, a 15.8x spread.

A4338 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$21.37——Not classified—
2New Mexico Source · since 2025-01-01$21.35——Plans must pay at least this—
3Arizona Source · since 2026-10-01$18.77——Plans negotiate; applies out of network—
24Kentucky Source · since 2022-01-01$13.41——Plans negotiate; applies out of network—
25Oregon Source · since 2024-10-01$13.39——Plans negotiate; applies out of network—
26Washington Source · since 2021-01-01$13.13——Plans negotiate; applies out of network—
47Ohio Source · since 1990-05-01$4.20Each—Plans negotiate; applies out of network—
48New York Source · since 2022-06-01$1.35——Plans negotiate; applies out of network—
See all 48 states for A4338 — start free

40 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.

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 A4338 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A4338?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $13.40. North Dakota pays the most ($21.37) and New York the least ($1.35).

Which state pays the highest Medicaid rate for A4338?

North Dakota, at $21.37, effective 2026-07-01.

Do managed-care plans pay the same rate for A4338?

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.