A4680 Medicaid reimbursement rates by state
Activated carbon filter for hemodialysis, each. 6 state Medicaid programs publish a fee-for-service rate for A4680 at the dietitian level. Rates run from $0.50 in Kansas to $182.74 in Texas, with a median of $50.06.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $50.06units vary by state
- Highest
- $182.74Texas
- Medicare (non-facility)
- —not on the physician fee schedule
A4680 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| TexasDietitian / nutritionist · Texas Medicaid (fee-for-service, TMHP) | $182.74since 2017-04-01 | — | — | Plans negotiate; applies out of network | — | TMHP Texas Medicaid Fee Schedule - In Ho |
| IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell) | $105.84since 2025-09-01 | — | — | Not classified | — | Idaho Medicaid Numerical Fee Schedule Ju |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $83.52since 2022-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
| LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service) | $16.60since 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) | $1.61since 2008-01-01 | — | — | Plans negotiate; applies out of network | — | MHCP Fee Schedule - Current Fee Schedule |
| KansasAny qualified provider (rate does not vary by provider) · Kansas Medicaid QMB (Qualified Medicare Beneficiary) KMAP fee schedule | $0.50since 1978-07-01 | — | — | Not classified | — | KMAP Fee Schedule QMB Medicaid (FeeSched |
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 A4680?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $50.06. Texas pays the most ($182.74) and Kansas the least ($0.50).
Which state pays the highest Medicaid rate for A4680?
Texas, at $182.74, effective 2017-04-01.
Do managed-care plans pay the same rate for A4680?
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.