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Billing code A4434 · Equipment & supplies

A4434 Medicaid reimbursement rate by state (2026)

Ostomy pouch, urinary. Medicaid pays a median of $4.31 for A4434 across 46 states, from $2.59 in Florida to $15.95 in New Hampshire.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$4.31units vary by state
Lowest
$2.59Florida
Highest
$15.95New Hampshire
Answer

What does Medicaid pay for A4434?

46 state Medicaid programs publish a fee-for-service rate for A4434. The national median is $4.31 (units differ between states). New Hampshire pays the most, $15.95, and Florida the least, $2.59, a 6.2x spread.

State ranking

A4434 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Hampshire Source · since 2021-01-01$15.95——Not classified—
2North Dakota Source · since 2026-07-01$6.43——Not classified—
3Kentucky Source · since 2022-01-01$6.32——Plans negotiate; applies out of network—
23South Carolina Source · since 2024-07-01$4.33——Not classified—
24Kansas Source · since 2026-07-01$4.29——Plans must pay at least this—
25Mississippi Source · since 2026-07-01$4.29——Plans must pay at least this—
45Michigan Source · since 2023-01-01$2.65——Plans negotiate; applies out of network—
46Florida Source · since 2026-07-01$2.59——Plans negotiate; applies out of network—
See all 46 states for A4434 — start free

38 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.

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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 A4434 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A4434?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $4.31. New Hampshire pays the most ($15.95) and Florida the least ($2.59).

Which state pays the highest Medicaid rate for A4434?

New Hampshire, at $15.95, effective 2021-01-01.

Do managed-care plans pay the same rate for A4434?

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.