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A6534 Medicaid reimbursement rate by state (2026)

Gradient compression stocking, thigh length, 30-40 mmhg. Medicaid pays a median of $55.20 for A6534 across 36 states, from $26.88 in New York to $85.10 in Massachusetts.

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

States publishing
36
National median
$55.20units vary by state
Lowest
$26.88New York
Highest
$85.10Massachusetts

What does Medicaid pay for A6534?

36 state Medicaid programs publish a fee-for-service rate for A6534 at the physician psychologist level. The national median is $55.20 (units differ between states). Massachusetts pays the most, $85.10, and New York the least, $26.88, a 3.2x spread.

A6534 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Massachusetts Source · since 2026-07-01$85.10——Plans negotiate; applies out of network—
2New Hampshire Source · since 2021-01-01$85.04——Not classified—
3Nebraska Source · since 2026-07-01$82.29——Plans negotiate; applies out of network—
18Louisiana Source · since 2014-05-01$56.26——Plans must pay at least this—
19Idaho Source · since 2026-07-01$54.13——Not classified—
20Maryland Source · since 2026-01-01$53.25——Not classified—
35Illinois Source · since 2024-01-01$28.35——Plans negotiate; applies out of network—
36New York Source · since 2022-06-01$26.88——Plans negotiate; applies out of network—
See all 36 states for A6534 — start free

28 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 A6534 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 A6534?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $55.20. Massachusetts pays the most ($85.10) and New York the least ($26.88).

Which state pays the highest Medicaid rate for A6534?

Massachusetts, at $85.10, effective 2026-07-01.

Do managed-care plans pay the same rate for A6534?

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.