A6243 Medicaid reimbursement rate by state (2026)
Hydrogel dressing, wound cover, sterile. Medicaid pays a median of $13.84 for A6243 across 46 states, from $6.55 in New York to $21.68 in North Dakota.
- States publishing
- 46
- National median
- $13.84units vary by state
- Lowest
- $6.55New York
- Highest
- $21.68North Dakota
What does Medicaid pay for A6243?
46 state Medicaid programs publish a fee-for-service rate for A6243. The national median is $13.84 (units differ between states). North Dakota pays the most, $21.68, and New York the least, $6.55, a 3.3x spread.
A6243 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 A6243?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $13.84. North Dakota pays the most ($21.68) and New York the least ($6.55).
Which state pays the highest Medicaid rate for A6243?
North Dakota, at $21.68, effective 2026-07-01.
Do managed-care plans pay the same rate for A6243?
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.