A4349 Medicaid reimbursement rate by state (2026)
Male external catheter, with or without adhesive. Medicaid pays a median of $2.23 for A4349 across 49 states, from $0.83 in Pennsylvania to $3.15 in Hawaii.
- States publishing
- 49
- National median
- $2.23units vary by state
- Lowest
- $0.83Pennsylvania
- Highest
- $3.15Hawaii
What does Medicaid pay for A4349?
49 state Medicaid programs publish a fee-for-service rate for A4349. The national median is $2.23 (units differ between states). Hawaii pays the most, $3.15, and Pennsylvania the least, $0.83, a 3.8x spread.
A4349 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4349?
It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $2.23. Hawaii pays the most ($3.15) and Pennsylvania the least ($0.83).
Which state pays the highest Medicaid rate for A4349?
Hawaii, at $3.15, effective 2026-06-01.
Do managed-care plans pay the same rate for A4349?
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.