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A7503 Medicaid reimbursement rates by state

Filter holder or filter cap, reusable. 34 state Medicaid programs publish a fee-for-service rate for A7503 at the clinical nurse specialist level. Rates run from $0.74 in Kentucky to $17.37 in Arizona, with a median of $12.77.

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

States publishing
34
Median rate
$12.77units vary by state
Highest
$17.37Arizona
Medicare (non-facility)
—not on the physician fee schedule

A7503 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
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$17.37since 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)$16.17since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$16.17since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
MaineAny qualified provider (rate does not vary by provider) · MaineCare (fee-for-service)$16.17since 2026-01-01——Not classified—MaineCare Fee Schedule (MaineCare UCR, H
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$16.17since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$16.17since 2026-01-01——Plans negotiate; applies out of network—DMAP 2026 Physician Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$15.85since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$15.85since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$15.85since 2026-06-01——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$14.55since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$14.15since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$13.97since 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)$13.74since 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)$13.55since 2025-01-01——Not classified—Vermont Medicaid Fee Schedule - DME Code
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$13.21since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$13.16since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$12.94since 2026-07-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, Septembe
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$12.59since 2016-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$12.54since 2017-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$12.38since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$12.12since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$12.04since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$11.67since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$11.57since 2025-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$11.10since 2023-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$10.82since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$10.60since 2024-01-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
Rhode IslandAny qualified provider (rate does not vary by provider) · Rhode Island Medicaid (fee-for-service)$10.41since 2012-07-01——Plans negotiate; applies out of network—RI Medicaid Interactive Fee For Service
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$9.63since 2007-05-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$9.28since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$8.65since 2001-01-01——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$7.82since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule$4.04since 2026-07-01——Not classified—KMAP Fee Schedule QMB Medicaid (FeeSched
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$0.74since 2022-01-01——Plans negotiate; applies out of network—KY Medicaid Home Health fee schedule (20

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 A7503?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $12.77. Arizona pays the most ($17.37) and Kentucky the least ($0.74).

Which state pays the highest Medicaid rate for A7503?

Arizona, at $17.37, effective 2026-10-01.

Do managed-care plans pay the same rate for A7503?

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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