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A4773 Medicaid reimbursement rates by state

Occult blood test strips, for dialysis, per 50. 8 state Medicaid programs publish a fee-for-service rate for A4773. Rates run from $9.71 in Colorado to $35.13 in New Hampshire, with a median of $20.07.

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

States publishing
8
Median rate
$20.07units vary by state
Highest
$35.13New Hampshire
Medicare (non-facility)
—not on the physician fee schedule

A4773 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)$35.13since 2021-01-01——Not classified—2026 Fee Schedule - Covered Procedures R
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$31.23since 2008-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$27.46since 2017-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
IdahoAny qualified provider (rate does not vary by provider) · Idaho Medicaid (fee-for-service, Division of Medicaid / Gainwell)$25.61since 2025-09-01——Not classified—Idaho Medicaid Numerical Fee Schedule Ju
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$14.53since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
UtahAny qualified provider (rate does not vary by provider) · Utah Medicaid (fee-for-service, Traditional plan)$10.18since 2010-07-01——Plans negotiate; applies out of network—Utah Medicaid Coverage and Reimbursement
WyomingAny qualified provider (rate does not vary by provider) · Wyoming Medicaid (fee-for-service, Department of Health)$9.75since 2021-01-01——Not classified—Wyoming Medicaid Downloadable Fee Schedu
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$9.71since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche

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 A4773?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $20.07. New Hampshire pays the most ($35.13) and Colorado the least ($9.71).

Which state pays the highest Medicaid rate for A4773?

New Hampshire, at $35.13, effective 2021-01-01.

Do managed-care plans pay the same rate for A4773?

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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