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A6261 Medicaid reimbursement rate by state (2026)

Wound filler, gel/paste, per fluid ounce. Medicaid pays a median of $4.48 for A6261 across 21 states, from $0.19 in Missouri to $100.00 in Ohio.

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

States publishing
21
National median
$4.48units vary by state
Lowest
$0.19Missouri
Highest
$100.00Ohio

What does Medicaid pay for A6261?

21 state Medicaid programs publish a fee-for-service rate for A6261. The national median is $4.48 (units differ between states). Ohio pays the most, $100.00 per month, and Missouri the least, $0.19, a 526.3x spread.

A6261 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 21 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Ohio Source · since 1997-01-01$100.00month—Plans negotiate; applies out of network—
2South Dakota Source · since 2026-07-01$47.39——Not classified—
3Utah Source · since 2010-07-01$35.14——Plans negotiate; applies out of network—
10Connecticut Source · since 2003-08-01$5.50——Not classified—
11Colorado Source · since 2022-07-01$4.48——Not classified—
12Michigan Source · since 2023-01-01$3.71——Plans negotiate; applies out of network—
20Wisconsin Source · since 2008-07-01$0.19——Plans negotiate; applies out of network—
21Missouri Source · since 2019-07-01$0.19——Plans negotiate; applies out of network—
See all 21 states for A6261 — start free

13 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.

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 A6261 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A6261?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $4.48. Ohio pays the most ($100.00 per month) and Missouri the least ($0.19).

Which state pays the highest Medicaid rate for A6261?

Ohio, at $100.00 per month, effective 1997-01-01.

Do managed-care plans pay the same rate for A6261?

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.