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A4660 Medicaid reimbursement rates by state

Sphygmomanometer/blood pressure apparatus with cuff and.... 34 state Medicaid programs publish a fee-for-service rate for A4660 at the dietitian level. Rates run from $11.04 in Arizona to $70.16 in New Hampshire, with a median of $34.82.

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

States publishing
34
Median rate
$34.82units vary by state
Highest
$70.16New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

A4660 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
New HampshireAny qualified provider (rate does not vary by provider) · New Hampshire Medicaid (fee-for-service, DHHS / NH MMIS)$70.16since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$61.65since 2021-09-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$59.72since 1995-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$57.20since 2020-08-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$53.67since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
North DakotaAny qualified provider (rate does not vary by provider) · North Dakota Medicaid (fee-for-service)$53.44since 2026-07-01——Not classified—ND Medicaid DME and Supplies Fee Schedul
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$49.65since 2011-08-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
South DakotaAny qualified provider (rate does not vary by provider) · South Dakota Medicaid (fee-for-service, DSS Division of Medical Services)$46.61since 2026-07-01——Not classified—South Dakota Medicaid DME fee schedule (
AlaskaAny qualified provider (rate does not vary by provider) · Alaska Medicaid (fee-for-service, Department of Health)$45.00since 2025-10-01——Not classified—Alaska Medicaid DMEPOS Interim Fee Sched
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$44.52since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$43.88since 2021-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$42.75since 2013-08-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$41.79since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$40.71since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$37.38since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
District of ColumbiaAny qualified provider (rate does not vary by provider) · DC Medicaid (DHCF) fee-for-service$35.50since 1978-12-31——Not classified—REFRP00178CSV - Medical Fee Schedule Rep
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$35.00since 2023-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2023Medica
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$34.64since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$33.80since 2018-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$31.61since 2013-07-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$30.00since 1997-08-01Set—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP)$30.00since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - In Ho
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$30.00since 1987-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$29.50since 2011-09-16——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$27.98since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$27.80since 2010-07-01Each—Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
HawaiiAny qualified provider (rate does not vary by provider) · Hawaii Medicaid (Med-QUEST) fee-for-service$25.00since 2024-03-04——Plans negotiate; applies out of network—Medicaid Fee-For-Service (FFS) Fee Sched
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$21.63since 1998-10-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$20.80since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
DelawareAny qualified provider (rate does not vary by provider) · Delaware Medicaid (fee-for-service, DMMA / DMAP)$20.00since 2024-01-01——Plans negotiate; applies out of network—DMAP 2024 Physician Fee Schedule
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$19.95since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
MissouriAny qualified provider (rate does not vary by provider) · Missouri MO HealthNet (fee-for-service)$19.90since 2019-07-01——Plans negotiate; applies out of network—MO HealthNet fee schedule: Durable Medic
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$19.62since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
ArizonaCertified nurse-midwife · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$11.04since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable

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

Frequently asked questions

What does Medicaid pay for A4660?

It depends on the state. Of the 34 states with a published fee-for-service rate, the median is $34.82. New Hampshire pays the most ($70.16) and Arizona the least ($11.04).

Which state pays the highest Medicaid rate for A4660?

New Hampshire, at $70.16, effective 2021-01-01.

Do managed-care plans pay the same rate for A4660?

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 table shows the rule for each state, cited to the contract or statute.

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