A5063 Medicaid reimbursement rate by state (2026)
Ostomy pouch, drainable; for use on barrier with flange. Medicaid pays a median of $3.09 for A5063 across 48 states, from $1.84 in Michigan to $5.54 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 48
- National median
- $3.09units vary by state
- Lowest
- $1.84Michigan
- Highest
- $5.54New Mexico
What does Medicaid pay for A5063?
48 state Medicaid programs publish a fee-for-service rate for A5063 at the physician psychologist level. The national median is $3.09 (units differ between states). New Mexico pays the most, $5.54, and Michigan the least, $1.84, a 3.0x spread.
A5063 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A5063?
It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $3.09. New Mexico pays the most ($5.54) and Michigan the least ($1.84).
Which state pays the highest Medicaid rate for A5063?
New Mexico, at $5.54, effective 2025-01-01.
Do managed-care plans pay the same rate for A5063?
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.