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A4802 Medicaid reimbursement rate by state (2026)

Protamine sulfate, for hemodialysis, per 50 mg. Medicaid pays a median of $7.21 for A4802 across 7 states, from $1.00 in Kansas to $14.85 in Minnesota.

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

States publishing
7
National median
$7.21units vary by state
Lowest
$1.00Kansas
Highest
$14.85Minnesota

What does Medicaid pay for A4802?

7 state Medicaid programs publish a fee-for-service rate for A4802 at the nurse midwife level. The national median is $7.21 (units differ between states). Minnesota pays the most, $14.85, and Kansas the least, $1.00, a 14.8x spread.

A4802 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2026-05-01$14.85——Plans negotiate; applies out of network—
2Arizona Source · since 2026-08-01$13.37——Plans negotiate; applies out of network—
3New Hampshire Source · since 2021-01-01$7.92——Not classified—
7Kansas Source · since 2002-01-01$1.00——Not classified—
See all 7 states for A4802 — start free

3 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.

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 A4802 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A4802?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $7.21. Minnesota pays the most ($14.85) and Kansas the least ($1.00).

Which state pays the highest Medicaid rate for A4802?

Minnesota, at $14.85, effective 2026-05-01.

Do managed-care plans pay the same rate for A4802?

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.