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A6530 Medicaid reimbursement rates by state

Gradient compression stocking, below knee, 18-30 mmhg, each. 37 state Medicaid programs publish a fee-for-service rate for A6530 at the physician psychologist level. Rates run from $0.00 in Arkansas to $85.04 in New Hampshire, with a median of $32.52.

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

States publishing
37
Median rate
$32.52units vary by state
Highest
$85.04New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

A6530 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
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$85.04since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$49.64since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$43.27since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$41.97since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$39.07since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$39.07since 2026-06-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$39.07since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$39.07since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$39.07since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$38.04since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$38.04since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$38.04since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$37.56since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$37.33——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$35.16since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$33.75since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$33.31since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$33.21since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$32.52since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$32.37since 2014-05-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$31.26since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
West VirginiaAny qualified provider (rate does not vary by provider) · West Virginia Medicaid (fee-for-service, Bureau for Medical Services)$31.26since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$30.37since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$29.54since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$28.81since 2024-01-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$28.50since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$28.00since 2026-05-27——Not classified—DME/POP Fee Schedule (REF-0132-Q)
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$27.96since 2026-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$27.35since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$24.83since 2011-08-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$23.93since 2011-05-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$22.15since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$21.64since 2007-07-26Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$18.95since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$18.24since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$17.50since 2025-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2025-01-
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 A6530?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $32.52. New Hampshire pays the most ($85.04) and Arkansas the least ($0.00).

Which state pays the highest Medicaid rate for A6530?

New Hampshire, at $85.04, effective 2021-01-01.

Do managed-care plans pay the same rate for A6530?

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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