A4377 Medicaid reimbursement rate by state (2026)
Ostomy pouch, drainable, for use on faceplate, plastic, each. Medicaid pays a median of $4.89 for A4377 across 46 states, from $2.70 in Alabama to $15.95 in New Hampshire.
- States publishing
- 46
- National median
- $4.89units vary by state
- Lowest
- $2.70Alabama
- Highest
- $15.95New Hampshire
What does Medicaid pay for A4377?
46 state Medicaid programs publish a fee-for-service rate for A4377. The national median is $4.89 (units differ between states). New Hampshire pays the most, $15.95, and Alabama the least, $2.70, a 5.9x spread.
A4377 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A4377?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $4.89. New Hampshire pays the most ($15.95) and Alabama the least ($2.70).
Which state pays the highest Medicaid rate for A4377?
New Hampshire, at $15.95, effective 2021-01-01.
Do managed-care plans pay the same rate for A4377?
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.