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A6549 Medicaid reimbursement rate by state (2026)

Gradient compression garment, not otherwise specified. Medicaid pays a median of $64.71 for A6549 across 7 states, from $22.92 in Idaho to $246.40 in Minnesota.

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

States publishing
7
National median
$64.71units vary by state
Lowest
$22.92Idaho
Highest
$246.40Minnesota

What does Medicaid pay for A6549?

7 state Medicaid programs publish a fee-for-service rate for A6549. The national median is $64.71 (units differ between states). Minnesota pays the most, $246.40, and Idaho the least, $22.92, a 10.8x spread.

A6549 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 7 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Minnesota Source · since 2026-01-01$246.40——Plans negotiate; applies out of network—
2Wisconsin Source · since 2011-05-01$149.60——Plans negotiate; applies out of network—
3Maryland Source · since 2020-01-01$132.72——Not classified—
7Idaho Source · since 2025-09-01$22.92——Not classified—
See all 7 states for A6549 — start free

3 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 A6549 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 A6549?

It depends on the state. Of the 7 states with a published fee-for-service rate, the median is $64.71. Minnesota pays the most ($246.40) and Idaho the least ($22.92).

Which state pays the highest Medicaid rate for A6549?

Minnesota, at $246.40, effective 2026-01-01.

Do managed-care plans pay the same rate for A6549?

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.