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Billing code A4458 · Equipment & supplies

A4458 Medicaid reimbursement rate by state (2026)

Medical supplies. Medicaid pays a median of $5.00 for A4458 across 15 states, from $1.29 in Virginia to $16.42 in New York.

Data as of Oct 5, 202615 statesEvery rate links to its official source

States publishing
15
National median
$5.00units vary by state
Lowest
$1.29Virginia
Highest
$16.42New York
Answer

What does Medicaid pay for A4458?

15 state Medicaid programs publish a fee-for-service rate for A4458. The national median is $5.00 (units differ between states). New York pays the most, $16.42, and Virginia the least, $1.29 per Each, a 12.7x spread.

State ranking

A4458 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 15 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New York Source · since 2022-06-01$16.42——Plans negotiate; applies out of network—
2Wyoming Source · since 2021-01-01$9.75——Not classified—
3Idaho Source · since 2025-09-01$8.64——Not classified—
7New Hampshire Source · since 2021-01-01$5.05——Not classified—
8Alaska Source · since 2025-10-01$5.00——Not classified—
9South Carolina Source · since 2024-07-01$4.04——Not classified—
14Hawaii Source · since 2024-03-04$1.86——Plans negotiate; applies out of network—
15Virginia Source · since 2010-07-01$1.29Each—Plans negotiate; applies out of network—
See all 15 states for A4458 — start free

7 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 A4458 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 A4458?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $5.00. New York pays the most ($16.42) and Virginia the least ($1.29 per Each).

Which state pays the highest Medicaid rate for A4458?

New York, at $16.42, effective 2022-06-01.

Do managed-care plans pay the same rate for A4458?

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.