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A4271 Medicaid reimbursement rates by state

Integrated lancing and blood sample testing cartridges for.... 12 state Medicaid programs publish a fee-for-service rate for A4271 at the physician psychologist level. Rates run from $5.25 in Ohio to $66.07 in New Mexico, with a median of $32.06.

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

States publishing
12
Median rate
$32.06units vary by state
Highest
$66.07New Mexico
Medicare (non-facility)
—not on the physician fee schedule

A4271 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
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$66.07since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$65.25since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$36.62since 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)$34.10since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
MontanaAny qualified provider (rate does not vary by provider) · Montana Medicaid and HMK Plus (fee-for-service)$34.10since 2026-01-01——Not classified—Montana Healthcare Programs fee schedule
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$33.43since 2025-10-01——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$30.69since 2026-01-011 unit=1 month—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$27.85since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$26.74since 2025-06-16——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$23.87since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$5.54since 2024-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$5.25since 2024-04-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a

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 A4271?

It depends on the state. Of the 12 states with a published fee-for-service rate, the median is $32.06. New Mexico pays the most ($66.07) and Ohio the least ($5.25 per Each).

Which state pays the highest Medicaid rate for A4271?

New Mexico, at $66.07, effective 2025-01-01.

Do managed-care plans pay the same rate for A4271?

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.

Related Equipment & supplies codes

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