A6404 Medicaid reimbursement rate by state (2026)
Gauze, non-impregnated, sterile. Medicaid pays a median of $0.66 for A6404 across 31 states, from $0.08 in Maine to $3.99 in Connecticut.
- States publishing
- 31
- National median
- $0.66units vary by state
- Lowest
- $0.08Maine
- Highest
- $3.99Connecticut
What does Medicaid pay for A6404?
31 state Medicaid programs publish a fee-for-service rate for A6404. The national median is $0.66 (units differ between states). Connecticut pays the most, $3.99, and Maine the least, $0.08, a 49.9x spread.
A6404 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 31 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A6404?
It depends on the state. Of the 31 states with a published fee-for-service rate, the median is $0.66. Connecticut pays the most ($3.99) and Maine the least ($0.08).
Which state pays the highest Medicaid rate for A6404?
Connecticut, at $3.99, effective 2003-08-01.
Do managed-care plans pay the same rate for A6404?
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.