A0394 Medicaid reimbursement rates by state
Als specialized service disposable supplies; iv drug therapy. 5 state Medicaid programs publish a fee-for-service rate for A0394. Rates run from $1.00 in Virginia to $35.01 in Vermont, with a median of $9.86.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 5
- Median rate
- $9.86units vary by state
- Highest
- $35.01Vermont
- Medicare (non-facility)
- —not on the physician fee schedule
A0394 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| VermontAny qualified provider (rate does not vary by provider) · Vermont Medicaid (fee-for-service, DVHA) | $35.01⚠ over 3× mediansince 2023-07-01 | — | — | Not classified | — | Vermont Medicaid Fee Schedule - HCPCS (i |
| WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Chronic Disease Program (adult cystic fibrosis, hemophilia home care, chronic renal disease; state-funded) | $25.00since 2006-10-01 | — | — | Not classified | — | ForwardHealth max fee schedule: Renal Di |
| New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS) | $9.86since 2023-07-01 | — | — | Plans must pay at least this | — | 2026 Fee Schedule - Covered Procedures R |
| MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service) | $5.16since 2019-07-01 | — | — | Plans must pay at least this | — | MO HealthNet fee schedule: Ambulance |
| VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS) | $1.00since 2008-04-01 | — | — | Plans negotiate; applies out of network | — | DMAS procedure fee file hcpcmedical.csv |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 A0394?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $9.86. Vermont pays the most ($35.01) and Virginia the least ($1.00).
Which state pays the highest Medicaid rate for A0394?
Vermont, at $35.01, effective 2023-07-01.
Do managed-care plans pay the same rate for A0394?
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.