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A6535 Medicaid reimbursement rates by state

Gradient compression stocking, thigh length. 34 state Medicaid programs publish a fee-for-service rate for A6535 at the physician psychologist level. Rates run from $29.79 in Nevada to $95.03 in Wisconsin, with a median of $64.92.

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

States publishing
34
Median rate
$64.92units vary by state
Highest
$95.03Wisconsin
Medicare (non-facility)
—not on the physician fee schedule

A6535 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
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$95.03since 2011-05-01——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)$92.52since 2014-05-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$89.45since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$77.47since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$73.77since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$72.78——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Orthotics and
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$72.13since 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)$72.13since 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)$72.13since 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)$72.13since 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)$72.13since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 DME Fee Schedule
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$72.13since 2026-01-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$70.23since 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)$70.23since 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$70.23since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$64.92since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$64.92since 2026-01-01——Not classified—South Dakota Medicaid DME fee schedule (
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$64.60since 2013-03-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$62.32since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$61.31since 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)$60.05since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$57.70since 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)$57.70since 2026-04-01——Plans must pay at least this—BMS DME 2026 Rural Fee Schedule Effectiv
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$54.54since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$52.53since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$50.49since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$43.71since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
IowaPhysician or licensed psychologist (incl. BCBA-D) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$42.16since 2013-07-01——Plans must pay at least this—Iowa Medicaid fee schedule #02 PHYSICIAN
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$41.00since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$33.48since 2007-07-26Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$32.03since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$30.29since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$29.79since 2011-08-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm

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 A6535?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $64.92. Wisconsin pays the most ($95.03) and Nevada the least ($29.79).

Which state pays the highest Medicaid rate for A6535?

Wisconsin, at $95.03, effective 2011-05-01.

Do managed-care plans pay the same rate for A6535?

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.

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