T4524 Medicaid reimbursement rate by state (2026)
Adult sized disposable incontinence product, brief/diaper. Medicaid pays a median of $0.885 for T4524 across 44 states, from $0.52 in Virginia to $1.43 in South Carolina.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 44
- National median
- $0.885units vary by state
- Lowest
- $0.52Virginia
- Highest
- $1.43South Carolina
What does Medicaid pay for T4524?
44 state Medicaid programs publish a fee-for-service rate for T4524. The national median is $0.885 (units differ between states). South Carolina pays the most, $1.43, and Virginia the least, $0.52, a 2.8x spread.
T4524 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 44 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for T4524?
It depends on the state. Of the 44 states with a published fee-for-service rate, the median is $0.885. South Carolina pays the most ($1.43) and Virginia the least ($0.52).
Which state pays the highest Medicaid rate for T4524?
South Carolina, at $1.43, effective 2025-07-01.
Do managed-care plans pay the same rate for T4524?
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.