A5121 Medicaid reimbursement rate by state (2026)
Skin barrier; solid, 6 x 6 or equivalent, each. Medicaid pays a median of $8.14 for A5121 across 47 states, from $4.94 in Michigan to $12.90 in North Dakota.
- States publishing
- 47
- National median
- $8.14units vary by state
- Lowest
- $4.94Michigan
- Highest
- $12.90North Dakota
What does Medicaid pay for A5121?
47 state Medicaid programs publish a fee-for-service rate for A5121. The national median is $8.14 (units differ between states). North Dakota pays the most, $12.90, and Michigan the least, $4.94, a 2.6x spread.
A5121 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A5121?
It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $8.14. North Dakota pays the most ($12.90) and Michigan the least ($4.94).
Which state pays the highest Medicaid rate for A5121?
North Dakota, at $12.90, effective 2026-07-01.
Do managed-care plans pay the same rate for A5121?
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.