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Billing code A4559 · Equipment & supplies

A4559 Medicaid reimbursement rate by state (2026)

Coupling gel or paste, for use with ultrasound device. Medicaid pays a median of $0.12 for A4559 across 18 states, from $0.03 in Kansas to $0.14 in Arizona.

Data as of Oct 5, 202618 statesEvery rate links to its official source

States publishing
18
National median
$0.12units vary by state
Lowest
$0.03Kansas
Highest
$0.14Arizona
Answer

What does Medicaid pay for A4559?

18 state Medicaid programs publish a fee-for-service rate for A4559. The national median is $0.12 (units differ between states). Arizona pays the most, $0.14, and Kansas the least, $0.03, a 4.7x spread.

State ranking

A4559 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 18 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$0.14——Plans negotiate; applies out of network—
2Minnesota Source · since 2023-01-01$0.13——Plans negotiate; applies out of network—
3Oklahoma Source · since 2023-01-01$0.13——Plans must pay at least this—
9Idaho Source · since 2023-07-01$0.12——Not classified—
10South Dakota Source · since 2024-07-01$0.12——Not classified—
11Massachusetts Source · since 2026-03-01$0.11——Plans negotiate; applies out of network—
17Wyoming Source · since 2021-01-01$0.09——Not classified—
18Kansas Source · since 2022-07-01$0.03——Not classified—
See all 18 states for A4559 — start free

10 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 A4559 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 A4559?

It depends on the state. Of the 18 states with a published fee-for-service rate, the median is $0.12. Arizona pays the most ($0.14) and Kansas the least ($0.03).

Which state pays the highest Medicaid rate for A4559?

Arizona, at $0.14, effective 2026-10-01.

Do managed-care plans pay the same rate for A4559?

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.