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A4327 Medicaid reimbursement rates by state

Female external urinary collection device; meatal cup, each. 19 state Medicaid programs publish a fee-for-service rate for A4327 at the agency level. Rates run from $7.29 in Colorado to $64.69 in Arizona, with a median of $42.56.

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

States publishing
19
Median rate
$42.56units vary by state
Highest
$64.69Arizona
Medicare (non-facility)
—not on the physician fee schedule

A4327 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
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$64.69since 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)$63.57since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$55.61since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$54.21since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$51.36since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$51.20since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$49.02since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$45.84since 2022-10-17——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$45.27since 2021-01-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$42.56since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$42.16since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$40.81since 2019-07-24——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2019-07-
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$38.54since 1997-07-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$38.39since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$37.00since 1997-08-01Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$35.30since 2014-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$27.25since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
FloridaAny qualified provider (rate does not vary by provider) · Florida iBudget waiver for people with developmental disabilities (APD)$18.05since 2026-07-01Item—Paid by the state, outside plans—Florida Medicaid Developmental Disabilit
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$7.29since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche

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 A4327?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $42.56. Arizona pays the most ($64.69) and Colorado the least ($7.29).

Which state pays the highest Medicaid rate for A4327?

Arizona, at $64.69, effective 2026-10-01.

Do managed-care plans pay the same rate for A4327?

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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