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Billing code A6403 · Equipment & supplies

A6403 Medicaid reimbursement rate by state (2026)

Gauze, non-impregnated, sterile. Medicaid pays a median of $0.465 for A6403 across 48 states, from $0.27 in New York to $1.95 in Arkansas.

Data as of Oct 5, 202648 statesEvery rate links to its official source

States publishing
48
National median
$0.465units vary by state
Lowest
$0.27New York
Highest
$1.95Arkansas
Answer

What does Medicaid pay for A6403?

48 state Medicaid programs publish a fee-for-service rate for A6403. The national median is $0.465 (units differ between states). Arkansas pays the most, $1.95, and New York the least, $0.27, a 7.2x spread.

State ranking

A6403 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 48 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-05-16$1.95——Not classified—
2North Dakota Source · since 2026-07-01$0.75——Not classified—
3Hawaii Source · since 2026-06-01$0.66——Plans negotiate; applies out of network—
24New Hampshire Source · since 2021-01-01$0.47——Not classified—
25District of Columbia Source · since 2025-04-01$0.46——Not classified—
26Kansas Source · since 2026-07-01$0.46——Plans must pay at least this—
47Louisiana Source · since 2021-09-01$0.28——Plans must pay at least this—
48New York Source · since 2023-04-01$0.27——Plans negotiate; applies out of network—
See all 48 states for A6403 — start free

40 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.

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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 A6403 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A6403?

It depends on the state. Of the 48 states with a published fee-for-service rate, the median is $0.465. Arkansas pays the most ($1.95) and New York the least ($0.27).

Which state pays the highest Medicaid rate for A6403?

Arkansas, at $1.95, effective 2025-05-16.

Do managed-care plans pay the same rate for A6403?

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.