A4380 Medicaid reimbursement rate by state (2026)
Ostomy pouch, urinary, with faceplate attached, rubber, each. Medicaid pays a median of $42.56 for A4380 across 45 states, from $11.69 in New Hampshire to $63.18 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 45
- National median
- $42.56units vary by state
- Lowest
- $11.69New Hampshire
- Highest
- $63.18North Dakota
What does Medicaid pay for A4380?
45 state Medicaid programs publish a fee-for-service rate for A4380 at the nurse midwife level. The national median is $42.56 (units differ between states). North Dakota pays the most, $63.18, and New Hampshire the least, $11.69, a 5.4x spread.
A4380 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 45 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4380?
It depends on the state. Of the 45 states with a published fee-for-service rate, the median is $42.56. North Dakota pays the most ($63.18) and New Hampshire the least ($11.69).
Which state pays the highest Medicaid rate for A4380?
North Dakota, at $63.18, effective 2026-07-01.
Do managed-care plans pay the same rate for A4380?
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.