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Billing code A4611 · Equipment & supplies

A4611 Medicaid reimbursement rate by state (2026)

Battery, heavy duty; replacement for patient owned.... Medicaid pays a median of $162.40 for A4611 across 33 states, from $7.25 in Hawaii to $330.25 in North Dakota.

Data as of Oct 5, 202633 statesEvery rate links to its official source

States publishing
33
National median
$162.40units vary by state
Lowest
$7.25Hawaii
Highest
$330.25North Dakota
Answer

What does Medicaid pay for A4611?

33 state Medicaid programs publish a fee-for-service rate for A4611. The national median is $162.40 (units differ between states). North Dakota pays the most, $330.25, and Hawaii the least, $7.25, a 45.6x spread.

State ranking

A4611 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 33 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$330.25——Not classified—
2Iowa Source · since 2024-07-01$238.36——State sets the plan rate—
3South Dakota Source · since 2026-07-01$234.24——Not classified—
16Mississippi Source · since 2013-07-01$163.66——Plans must pay at least this—
17North Carolina Source · since 2025-10-01$162.40——Plans negotiate; applies out of network—
18Idaho Source · since 2025-09-01$151.33——Not classified—
32Oregon Source · since 2024-10-01$18.89——Plans negotiate; applies out of network—
33Hawaii Source · since 2024-03-04$7.25——Plans negotiate; applies out of network—
See all 33 states for A4611 — start free

25 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 A4611 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 A4611?

It depends on the state. Of the 33 states with a published fee-for-service rate, the median is $162.40. North Dakota pays the most ($330.25) and Hawaii the least ($7.25).

Which state pays the highest Medicaid rate for A4611?

North Dakota, at $330.25, effective 2026-07-01.

Do managed-care plans pay the same rate for A4611?

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.