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Billing code A4580 · Equipment & supplies

A4580 Medicaid reimbursement rate by state (2026)

Cast supplies (e.g., plaster). Medicaid pays a median of $20.83 for A4580 across 14 states, from $2.55 in Ohio to $39.00 in Virginia.

Data as of Oct 5, 202614 statesEvery rate links to its official source

States publishing
14
National median
$20.83units vary by state
Lowest
$2.55Ohio
Highest
$39.00Virginia
Answer

What does Medicaid pay for A4580?

14 state Medicaid programs publish a fee-for-service rate for A4580. The national median is $20.83 (units differ between states). Virginia pays the most, $39.00, and Ohio the least, $2.55 per Roll, a 15.3x spread.

State ranking

A4580 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 14 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Virginia Source · since 1990-01-01$39.00——Plans negotiate; applies out of network—
2South Dakota Source · since 2026-07-01$36.80——Not classified—
3Oklahoma Source · since 2020-08-01$33.20——Plans must pay at least this—
7Wyoming Source · since 2021-07-01$24.38——Not classified—
8South Carolina Source · since 2011-04-08$17.27——Not classified—
9Hawaii Source · since 2024-03-04$14.56——Plans negotiate; applies out of network—
13North Carolina Source · since 2025-10-01$4.45——Plans must pay at least this—
14Ohio Source · since 1992-11-01$2.55Roll—Plans negotiate; applies out of network—
See all 14 states for A4580 — start free

6 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 A4580 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 A4580?

It depends on the state. Of the 14 states with a published fee-for-service rate, the median is $20.83. Virginia pays the most ($39.00) and Ohio the least ($2.55 per Roll).

Which state pays the highest Medicaid rate for A4580?

Virginia, at $39.00, effective 1990-01-01.

Do managed-care plans pay the same rate for A4580?

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.