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A7045 Medicaid reimbursement rate by state (2026)

Exhalation port with or without swivel used with accessories.... Medicaid pays a median of $14.10 for A7045 across 36 states, from $1.32 in Maryland to $117.64 in Arkansas.

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

States publishing
36
National median
$14.10units vary by state
Lowest
$1.32Maryland
Highest
$117.64Arkansas

What does Medicaid pay for A7045?

36 state Medicaid programs publish a fee-for-service rate for A7045 at the clinical nurse specialist level. The national median is $14.10 (units differ between states). Arkansas pays the most, $117.64, and Maryland the least, $1.32, a 89.3x spread.

A7045 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arkansas Source · since 2025-05-16$117.64——Not classified—
2Nebraska Source · since 2026-07-01$25.47——Plans negotiate; applies out of network—
3Alaska Source · since 2026-01-01$20.30——Not classified—
18Oklahoma Source · since 2026-01-01$14.31——Plans must pay at least this—
19Colorado Source · since 2024-07-01$13.88New Purchase—Not classified—
20Louisiana Source · since 2012-07-01$13.13——Plans must pay at least this—
35Indiana Source · since 2026-01-01$1.56unit—Plans must pay at least this—
36Maryland Source · since 2026-01-01$1.32——Not classified—
See all 36 states for A7045 — start free

28 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 A7045 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 A7045?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $14.10. Arkansas pays the most ($117.64) and Maryland the least ($1.32).

Which state pays the highest Medicaid rate for A7045?

Arkansas, at $117.64, effective 2025-05-16.

Do managed-care plans pay the same rate for A7045?

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.