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A5073 Medicaid reimbursement rates by state

Ostomy pouch, urinary; for use on barrier with flange. 40 state Medicaid programs publish a fee-for-service rate for A5073 at the physician psychologist level. Rates run from $0.01 in Missouri to $4.66 in Arizona, with a median of $3.21.

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

States publishing
40
Median rate
$3.21units vary by state
Highest
$4.66Arizona
Medicare (non-facility)
—not on the physician fee schedule

A5073 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
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$4.66since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$4.53since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$4.53since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$4.51since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$4.42since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$3.95since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$3.85since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$3.85since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$3.71since 2025-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$3.70since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$3.69since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$3.66since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$3.62since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$3.59since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$3.57since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$3.49since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$3.47since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$3.36since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$3.34since 2012-03-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$3.23since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$3.18since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$3.17since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$3.17since 2014-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$3.17since 2025-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$3.13since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3.12since 2025-10-01each—Plans negotiate; applies out of network—NC Medicaid fee schedule 'Home Health Se
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$3.12since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Home Health fee schedule (20
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$3.10since 1996-01-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$3.08since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.07since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$2.98since 2001-04-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$2.97since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$2.88since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$2.72since 2025-05-16——Not classified—Arkansas Medicaid Home Health Fee Schedu
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$2.70since 2007-05-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$2.54since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$2.54since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$2.41since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD)$2.09since 2015-10-19——Paid by the state, outside plans—Developmental Disabilities Individual Bu
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 A5073?

It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $3.21. Arizona pays the most ($4.66) and Missouri the least ($0.01).

Which state pays the highest Medicaid rate for A5073?

Arizona, at $4.66, effective 2026-10-01.

Do managed-care plans pay the same rate for A5073?

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

A7000Canister, disposable, used with suction pump, each · 42 statesA8001Helmet, protective, hard, prefabricated · 42 statesB9002Enteral nutrition infusion pump, any type · 42 statesE0105Cane, quad or three prong, includes canes of all materials · 42 statesE0130Walker, rigid (pickup), adjustable or fixed height · 42 statesE0135Walker, folding (pickup), adjustable or fixed height · 42 statesE0143Walker, folding, wheeled, adjustable or fixed height · 42 statesE0149Walker, heavy duty, wheeled, rigid or folding, any type · 42 statesE0163Commode chair, mobile or stationary, with fixed arms · 42 statesE0185Gel or gel-like pressure pad for mattress · 42 statesE0271Mattress, innerspring · 42 statesE0470Respiratory assist device, bi-level pressure capability · 42 states
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Medicaid rates by state
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