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A6502 Medicaid reimbursement rates by state

Compression burn garment, chin strap, custom fabricated. 6 state Medicaid programs publish a fee-for-service rate for A6502. Rates run from $0.00 in Arkansas to $119.91 in Oregon, with a median of $72.63.

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

States publishing
6
Median rate
$72.63units vary by state
Highest
$119.91Oregon
Medicare (non-facility)
—not on the physician fee schedule

A6502 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$119.91since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$116.31since 2019-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$90.00since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$55.26since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$10.00since 2003-01-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$0.00since 2025-06-04——Not classified—Arkansas Medicaid Prosthetics (includes

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A6502?

It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $72.63. Oregon pays the most ($119.91) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for A6502?

Oregon, at $119.91, effective 2024-10-01.

Do managed-care plans pay the same rate for A6502?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

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