Skip to content
Billing code A4262 · Equipment & supplies

A4262 Medicaid reimbursement rate by state (2026)

Temporary, absorbable lacrimal duct implant, each. Medicaid pays a median of $15.37 for A4262 across 5 states, from $0.29 in Colorado to $49.07 in Kansas.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$15.37units vary by state
Lowest
$0.29Colorado
Highest
$49.07Kansas
Answer

What does Medicaid pay for A4262?

5 state Medicaid programs publish a fee-for-service rate for A4262. The national median is $15.37 (units differ between states). Kansas pays the most, $49.07, and Colorado the least, $0.29, a 169.2x spread.

State ranking

A4262 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Kansas Source · since 1994-01-01$49.07——Not classified—
2Rhode Island Source · since 2012-07-01$20.00——Plans negotiate; applies out of network—
3Iowa Source · since 2013-07-01$15.37——Plans must pay at least this—
See all 5 states for A4262 — start free

2 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 A4262 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A4262?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $15.37. Kansas pays the most ($49.07) and Colorado the least ($0.29).

Which state pays the highest Medicaid rate for A4262?

Kansas, at $49.07, effective 1994-01-01.

Do managed-care plans pay the same rate for A4262?

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.