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A4663 Medicaid reimbursement rates by state

Blood pressure cuff only. 30 state Medicaid programs publish a fee-for-service rate for A4663 at the dietitian level. Rates run from $0.01 in Missouri to $38.68 in North Dakota, with a median of $21.87.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
30
Median rate
$21.87units vary by state
Highest
$38.68North Dakota
Medicare (non-facility)
—not on the physician fee schedule

A4663 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$38.68since 2026-07-01——Not classified—ND Medicaid DME and Supplies Fee Schedul
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$38.27since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$37.42since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$35.00since 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$30.08since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$30.00since 1987-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$28.53since 2003-08-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$27.23since 2026-07-01——Not classified—South Dakota Medicaid DME fee schedule (
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$27.20since 2023-09-05——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas ARKids First-B (CHIP)$25.93since 2026-09-03——Not classified—Arkansas Medicaid ARKids First-B Screeni
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$23.11since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$22.88since 1994-02-28——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$22.88since 2018-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$22.23since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$21.92since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP)$21.81since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - In Ho
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$21.81since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$21.63since 2012-07-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$20.58since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$20.58since 2022-11-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$20.36since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$20.00since 2023-10-01——Plans negotiate; applies out of network—Copy of Durable Medical Equipment Servic
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$19.95since 1997-04-01——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$16.07since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$13.00since 1990-05-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$12.11since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$11.40since 2013-07-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$9.00since 1998-10-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$6.27since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$0.01since 2003-10-16——Plans negotiate; applies out of network—MO HealthNet fee schedule: Home Health

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A4663?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $21.87. North Dakota pays the most ($38.68) and Missouri the least ($0.01).

Which state pays the highest Medicaid rate for A4663?

North Dakota, at $38.68, effective 2026-07-01.

Do managed-care plans pay the same rate for A4663?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

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