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A6537 Medicaid reimbursement rate by state (2026)

Gradient compression stocking, full length/chap style. Medicaid pays a median of $78.90 for A6537 across 35 states, from $24.83 in Illinois to $119.69 in Florida.

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

States publishing
35
National median
$78.90units vary by state
Lowest
$24.83Illinois
Highest
$119.69Florida

What does Medicaid pay for A6537?

35 state Medicaid programs publish a fee-for-service rate for A6537 at the physician psychologist level. The national median is $78.90 (units differ between states). Florida pays the most, $119.69, and Illinois the least, $24.83, a 4.8x spread.

A6537 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 35 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Florida Source · since 2026-07-01$119.69——Plans negotiate; applies out of network—
2Connecticut Source · since 2013-03-01$114.00——Not classified—
3North Carolina Source$100.74——Plans negotiate; applies out of network—
17Louisiana Source · since 2014-05-01$80.13——Plans must pay at least this—
18Virginia Source · since 2026-01-01$78.90Each—Plans must pay at least this—
19South Dakota Source · since 2026-01-01$78.90——Not classified—
34New York Source · since 2022-06-01$33.57——Plans negotiate; applies out of network—
35Illinois Source · since 2024-01-01$24.83——Plans negotiate; applies out of network—
See all 35 states for A6537 — start free

27 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 A6537 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 A6537?

It depends on the state. Of the 35 states with a published fee-for-service rate, the median is $78.90. Florida pays the most ($119.69) and Illinois the least ($24.83).

Which state pays the highest Medicaid rate for A6537?

Florida, at $119.69, effective 2026-07-01.

Do managed-care plans pay the same rate for A6537?

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.