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A4379 Medicaid reimbursement rate by state (2026)

Ostomy pouch, urinary, with faceplate attached, plastic. Medicaid pays a median of $16.86 for A4379 across 46 states, from $9.46 in Alabama to $25.41 in North Dakota.

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

States publishing
46
National median
$16.86units vary by state
Lowest
$9.46Alabama
Highest
$25.41North Dakota

What does Medicaid pay for A4379?

46 state Medicaid programs publish a fee-for-service rate for A4379 at the nurse midwife level. The national median is $16.86 (units differ between states). North Dakota pays the most, $25.41, and Alabama the least, $9.46, a 2.7x spread.

A4379 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.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$25.41——Not classified—
2Arizona Source · since 2026-10-01$22.99——Plans negotiate; applies out of network—
3Hawaii Source · since 2026-06-01$22.69——Plans negotiate; applies out of network—
23District of Columbia Source · since 2026-04-01$17.12——Not classified—
24Nevada Source · since 2017-01-01$16.60——Plans negotiate; applies out of network—
25Kentucky Source · since 2022-01-01$16.42——Plans negotiate; applies out of network—
45Pennsylvania Source · since 2000-01-01$11.46——Plans negotiate; applies out of network—
46Alabama Source · since 2026-05-20$9.46——Not classified—
See all 46 states for A4379 — start free

38 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track A4379 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A4379?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $16.86. North Dakota pays the most ($25.41) and Alabama the least ($9.46).

Which state pays the highest Medicaid rate for A4379?

North Dakota, at $25.41, effective 2026-07-01.

Do managed-care plans pay the same rate for A4379?

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.