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A6591 Medicaid reimbursement rate by state (2026)

External urinary catheter; non-disposable. Medicaid pays a median of $73.76 per month for A6591 across 17 states, from $22.66 in Kansas to $90.64 in Montana.

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

States publishing
17
National median
$73.76per month
Lowest
$22.66Kansas
Highest
$90.64Montana

What does Medicaid pay for A6591?

17 state Medicaid programs publish a fee-for-service rate for A6591. The national median is $73.76 per month. Montana pays the most, $90.64 per month, and Kansas the least, $22.66 per month, a 4.0x spread.

A6591 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 17 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Montana Source · since 2026-01-01$90.64month—Not classified—
2Delaware Source · since 2026-01-01$90.64month—Plans negotiate; applies out of network—
3Indiana Source · since 2026-01-01$88.86month—Plans must pay at least this—
8Idaho Source · since 2026-07-01$78.32month—Not classified—
9Massachusetts Source · since 2026-03-01$73.76month—Plans negotiate; applies out of network—
10District of Columbia Source · since 2026-04-01$72.51month—Not classified—
16Ohio Source · since 2023-04-01$54.40month—Plans negotiate; applies out of network—
17Kansas Source · since 2026-07-01$22.66month—Not classified—
See all 17 states for A6591 — start free

9 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 A6591 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 A6591?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $73.76 per month. Montana pays the most ($90.64 per month) and Kansas the least ($22.66 per month).

Which state pays the highest Medicaid rate for A6591?

Montana, at $90.64 per month, effective 2026-01-01.

Do managed-care plans pay the same rate for A6591?

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.