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Billing code A4510 · Equipment & supplies

A4510 Medicaid reimbursement rate by state (2026)

Surgical stockings full length, each. Medicaid pays a median of $20.50 for A4510 across 27 states, from $9.05 in Michigan to $138.61 in Vermont.

Data as of Oct 5, 202627 statesEvery rate links to its official source

States publishing
27
National median
$20.50units vary by state
Lowest
$9.05Michigan
Highest
$138.61Vermont
Answer

What does Medicaid pay for A4510?

27 state Medicaid programs publish a fee-for-service rate for A4510. The national median is $20.50 (units differ between states). Vermont pays the most, $138.61, and Michigan the least, $9.05, a 15.3x spread.

State ranking

A4510 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 27 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Vermont Source · since 2023-03-01$138.61——Not classified—
2New Hampshire Source · since 2021-01-01$85.04——Not classified—
3West Virginia Source · since 2026-04-01$84.15——Plans must pay at least this—
13Maine Source · since 2026-01-01$21.06——Not classified—
14Pennsylvania Source · since 1985-01-26$20.50——Plans negotiate; applies out of network—
15Virginia Source · since 2010-07-01$19.81Each—Plans negotiate; applies out of network—
26Alabama Source · since 2026-05-20$9.95——Not classified—
27Michigan Source · since 2023-01-01$9.05——Plans negotiate; applies out of network—
See all 27 states for A4510 — start free

19 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 A4510 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 A4510?

It depends on the state. Of the 27 states with a published fee-for-service rate, the median is $20.50. Vermont pays the most ($138.61) and Michigan the least ($9.05).

Which state pays the highest Medicaid rate for A4510?

Vermont, at $138.61, effective 2023-03-01.

Do managed-care plans pay the same rate for A4510?

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.