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Billing code A4436 · Equipment & supplies

A4436 Medicaid reimbursement rate by state (2026)

Irrigation supply; sleeve, reusable, per month. Medicaid pays a median of $20.43 for A4436 across 36 states, from $4.62 in Wisconsin to $30.76 in North Dakota.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$20.43units vary by state
Lowest
$4.62Wisconsin
Highest
$30.76North Dakota
Answer

What does Medicaid pay for A4436?

36 state Medicaid programs publish a fee-for-service rate for A4436. The national median is $20.43 (units differ between states). North Dakota pays the most, $30.76 per month, and Wisconsin the least, $4.62 per month, a 6.7x spread.

State ranking

A4436 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$30.76month—Not classified—
2Washington Source · since 2026-07-01$27.33month—Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$27.33month—Plans negotiate; applies out of network—
18Virginia Source · since 2026-01-01$20.911 unit = 1 month supply—Plans must pay at least this—
19Connecticut Source · since 2022-01-01$19.94month—Not classified—
20Nevada Source · since 2022-01-01$19.94month—Plans negotiate; applies out of network—
35Missouri Source · since 2022-01-01$4.93month—Plans negotiate; applies out of network—
36Wisconsin Source · since 2022-01-01$4.62month—Plans negotiate; applies out of network—
See all 36 states for A4436 — start free

28 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 A4436 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 A4436?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $20.43. North Dakota pays the most ($30.76 per month) and Wisconsin the least ($4.62 per month).

Which state pays the highest Medicaid rate for A4436?

North Dakota, at $30.76 per month, effective 2026-07-01.

Do managed-care plans pay the same rate for A4436?

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.