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Billing code A5071 · Equipment & supplies

A5071 Medicaid reimbursement rate by state (2026)

Ostomy pouch, urinary; with barrier attached (1 piece), each. Medicaid pays a median of $6.71 for A5071 across 48 states, from $3.03 in Florida to $10.58 in North Dakota.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$6.71units vary by state
Lowest
$3.03Florida
Highest
$10.58North Dakota
Answer

What does Medicaid pay for A5071?

48 state Medicaid programs publish a fee-for-service rate for A5071. The national median is $6.71 (units differ between states). North Dakota pays the most, $10.58, and Florida the least, $3.03, a 3.5x spread.

State ranking

A5071 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$10.58——Not classified—
2Arizona Source · since 2026-10-01$9.21——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$8.57——Plans negotiate; applies out of network—
24District of Columbia Source · since 2026-04-01$6.86——Not classified—
25Oregon Source · since 2024-10-01$6.56——Plans negotiate; applies out of network—
26Washington Source · since 2021-01-01$6.44——Plans negotiate; applies out of network—
47Indiana Source · since 2014-01-01$3.44unit—Plans must pay at least this—
48Florida Source · since 2026-07-01$3.03——Plans negotiate; applies out of network—
See all 48 states for A5071 — start free

40 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 A5071 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 A5071?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $6.71. North Dakota pays the most ($10.58) and Florida the least ($3.03).

Which state pays the highest Medicaid rate for A5071?

North Dakota, at $10.58, effective 2026-07-01.

Do managed-care plans pay the same rate for A5071?

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.