A4379 Medicaid reimbursement rate by state (2026)
Ostomy pouch, urinary, with faceplate attached, plastic. Medicaid pays a median of $16.86 for A4379 across 46 states, from $9.46 in Alabama to $25.41 in North Dakota.
- States publishing
- 46
- National median
- $16.86units vary by state
- Lowest
- $9.46Alabama
- Highest
- $25.41North Dakota
What does Medicaid pay for A4379?
46 state Medicaid programs publish a fee-for-service rate for A4379. The national median is $16.86 (units differ between states). North Dakota pays the most, $25.41, and Alabama the least, $9.46, a 2.7x spread.
A4379 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4379?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $16.86. North Dakota pays the most ($25.41) and Alabama the least ($9.46).
Which state pays the highest Medicaid rate for A4379?
North Dakota, at $25.41, effective 2026-07-01.
Do managed-care plans pay the same rate for A4379?
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.