A4553 Medicaid reimbursement rate by state (2026)
Non-disposable underpads, all sizes. Medicaid pays a median of $10.85 for A4553 across 5 states, from $7.79 in Maryland to $40.00 in South Carolina.
- States publishing
- 5
- National median
- $10.85units vary by state
- Lowest
- $7.79Maryland
- Highest
- $40.00South Carolina
What does Medicaid pay for A4553?
5 state Medicaid programs publish a fee-for-service rate for A4553. The national median is $10.85 (units differ between states). South Carolina pays the most, $40.00, and Maryland the least, $7.79, a 5.1x spread.
A4553 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4553?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $10.85. South Carolina pays the most ($40.00) and Maryland the least ($7.79).
Which state pays the highest Medicaid rate for A4553?
South Carolina, at $40.00, effective 2023-07-21.
Do managed-care plans pay the same rate for A4553?
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.