A7004 Medicaid reimbursement rate by state (2026)
Small volume nonfiltered pneumatic nebulizer, disposable. Medicaid pays a median of $1.54 for A7004 across 40 states, from $0.98 in Louisiana to $4.46 in New Hampshire.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 40
- National median
- $1.54units vary by state
- Lowest
- $0.98Louisiana
- Highest
- $4.46New Hampshire
What does Medicaid pay for A7004?
40 state Medicaid programs publish a fee-for-service rate for A7004 at the physician psychologist level. The national median is $1.54 (units differ between states). New Hampshire pays the most, $4.46, and Louisiana the least, $0.98, a 4.6x spread.
A7004 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A7004?
It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $1.54. New Hampshire pays the most ($4.46) and Louisiana the least ($0.98).
Which state pays the highest Medicaid rate for A7004?
New Hampshire, at $4.46, effective 2021-01-01.
Do managed-care plans pay the same rate for A7004?
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.