A4295 Medicaid reimbursement rate by state (2026)
Intermittent urinary catheter; straight tip. Medicaid pays a median of $2.10 for A4295 across 40 states, from $1.45 in Alabama to $3.65 in Texas.
- States publishing
- 40
- National median
- $2.10units vary by state
- Lowest
- $1.45Alabama
- Highest
- $3.65Texas
What does Medicaid pay for A4295?
40 state Medicaid programs publish a fee-for-service rate for A4295. The national median is $2.10 (units differ between states). Texas pays the most, $3.65, and Alabama the least, $1.45, a 2.5x spread.
A4295 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 40 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4295?
It depends on the state. Of the 40 states with a published fee-for-service rate, the median is $2.10. Texas pays the most ($3.65) and Alabama the least ($1.45).
Which state pays the highest Medicaid rate for A4295?
Texas, at $3.65, effective 2026-07-29.
Do managed-care plans pay the same rate for A4295?
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.