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Billing code A4593 · Equipment & supplies

A4593 Medicaid reimbursement rate by state (2026)

Neuromodulation stimulator system. Medicaid pays a median of $52.81 for A4593 across 5 states, from $1.88 in Arizona to $528.10 in Montana.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$52.81units vary by state
Lowest
$1.88Arizona
Highest
$528.10Montana
Answer

What does Medicaid pay for A4593?

5 state Medicaid programs publish a fee-for-service rate for A4593. The national median is $52.81 (units differ between states). Montana pays the most, $528.10, and Arizona the least, $1.88 per day, a 280.9x spread.

State ranking

A4593 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-07-01$528.10——Not classified—
2New Hampshire Source · since 2025-07-01$414.16——Not classified—
3Delaware Source · since 2026-01-01$52.81——Plans negotiate; applies out of network—
See all 5 states for A4593 — start free

2 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 A4593 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 A4593?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $52.81. Montana pays the most ($528.10) and Arizona the least ($1.88 per day).

Which state pays the highest Medicaid rate for A4593?

Montana, at $528.10, effective 2026-07-01.

Do managed-care plans pay the same rate for A4593?

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.