A5072 Medicaid reimbursement rate by state (2026)
Ostomy pouch, urinary; without barrier attached (1 piece). Medicaid pays a median of $3.86 for A5072 across 46 states, from $2.37 in Indiana to $6.01 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 46
- National median
- $3.86units vary by state
- Lowest
- $2.37Indiana
- Highest
- $6.01North Dakota
What does Medicaid pay for A5072?
46 state Medicaid programs publish a fee-for-service rate for A5072 at the physician psychologist level. The national median is $3.86 (units differ between states). North Dakota pays the most, $6.01, and Indiana the least, $2.37 per unit, a 2.5x spread.
A5072 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A5072?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $3.86. North Dakota pays the most ($6.01) and Indiana the least ($2.37 per unit).
Which state pays the highest Medicaid rate for A5072?
North Dakota, at $6.01, effective 2026-07-01.
Do managed-care plans pay the same rate for A5072?
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.