Skip to content
Billing code A4558 · Equipment & supplies

A4558 Medicaid reimbursement rate by state (2026)

Conductive gel or paste, for use with electrical device. Medicaid pays a median of $5.61 for A4558 across 36 states, from $0.63 in Pennsylvania to $9.89 in Hawaii.

Data as of Oct 5, 202636 statesEvery rate links to its official source

States publishing
36
National median
$5.61units vary by state
Lowest
$0.63Pennsylvania
Highest
$9.89Hawaii
Answer

What does Medicaid pay for A4558?

36 state Medicaid programs publish a fee-for-service rate for A4558. The national median is $5.61 (units differ between states). Hawaii pays the most, $9.89, and Pennsylvania the least, $0.63, a 15.7x spread.

State ranking

A4558 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 36 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Hawaii Source · since 2026-06-01$9.89——Plans negotiate; applies out of network—
2Alaska Source · since 2026-01-01$9.47——Not classified—
3Arizona Source · since 2026-10-01$8.34——Plans negotiate; applies out of network—
18North Carolina Source · since 2025-10-01$5.611 jar—Plans negotiate; applies out of network—
19Maryland Source · since 2026-01-01$5.61——Not classified—
20Wyoming Source · since 2023-09-01$5.54——Not classified—
35Iowa Source · since 2024-07-01$1.88——State sets the plan rate—
36Pennsylvania Source · since 2012-12-10$0.63——Plans negotiate; applies out of network—
See all 36 states for A4558 — start free

28 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.

  • Source for every rate
  • Full rate history
  • CSV and API export

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 A4558 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 A4558?

It depends on the state. Of the 36 states with a published fee-for-service rate, the median is $5.61. Hawaii pays the most ($9.89) and Pennsylvania the least ($0.63).

Which state pays the highest Medicaid rate for A4558?

Hawaii, at $9.89, effective 2026-06-01.

Do managed-care plans pay the same rate for A4558?

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.