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Billing code A4418 · Equipment & supplies

A4418 Medicaid reimbursement rate by state (2026)

Ostomy pouch, closed; without barrier attached, with filter. Medicaid pays a median of $2.06 for A4418 across 46 states, from $1.24 in Florida to $15.95 in New Hampshire.

Data as of Oct 5, 202646 statesEvery rate links to its official source

States publishing
46
National median
$2.06units vary by state
Lowest
$1.24Florida
Highest
$15.95New Hampshire
Answer

What does Medicaid pay for A4418?

46 state Medicaid programs publish a fee-for-service rate for A4418. The national median is $2.06 (units differ between states). New Hampshire pays the most, $15.95, and Florida the least, $1.24, a 12.9x spread.

State ranking

A4418 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
1New Hampshire Source · since 2021-01-01$15.95——Not classified—
2North Dakota Source · since 2026-07-01$3.19——Not classified—
3Arizona Source · since 2026-10-01$2.77——Plans negotiate; applies out of network—
23Mississippi Source · since 2026-07-01$2.06——Plans must pay at least this—
24West Virginia Source · since 2026-04-01$2.06——Plans must pay at least this—
25District of Columbia Source · since 2026-04-01$2.06——Not classified—
45Michigan Source · since 2023-01-01$1.27——Plans negotiate; applies out of network—
46Florida Source · since 2026-07-01$1.24——Plans negotiate; applies out of network—
See all 46 states for A4418 — 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.

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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 A4418 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A4418?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $2.06. New Hampshire pays the most ($15.95) and Florida the least ($1.24).

Which state pays the highest Medicaid rate for A4418?

New Hampshire, at $15.95, effective 2021-01-01.

Do managed-care plans pay the same rate for A4418?

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.