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A7048 Medicaid reimbursement rates by state

Vacuum drainage collection unit and tubing kit. 27 state Medicaid programs publish a fee-for-service rate for A7048 at the clinical nurse specialist level. Rates run from $29.68 in New Hampshire to $71.85 in Connecticut, with a median of $48.03.

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

States publishing
27
Median rate
$48.03units vary by state
Highest
$71.85Connecticut
Medicare (non-facility)
—not on the physician fee schedule

A7048 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$71.85since 2026-02-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$63.22since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$60.33since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$59.43since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$59.15since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$58.86since 2026-07-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$58.86since 2026-01-01——Not classified—MaineCare Section 60, Medical Supplies a
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$56.36since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$50.85since 2026-07-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$50.03since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA)$49.34since 2026-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$48.98since 2019-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$48.50since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$48.03since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$48.01since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$47.22since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$45.65since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$45.03since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$43.70since 2025-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$43.27since 2020-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$42.49since 2015-01-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$41.20since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$38.38since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$37.58since 2015-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$37.43since 2018-10-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
CaliforniaAny qualified provider (rate does not vary by provider) · California Medi-Cal (fee-for-service)$36.66since 2026-10-01——Plans negotiate; applies out of network—Medi-Cal Rates (Rates files zip: rates_d
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$29.68since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A7048?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $48.03. Connecticut pays the most ($71.85) and New Hampshire the least ($29.68).

Which state pays the highest Medicaid rate for A7048?

Connecticut, at $71.85, effective 2026-02-01.

Do managed-care plans pay the same rate for A7048?

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 table shows the rule for each state, cited to the contract or statute.

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