A6154 Medicaid reimbursement rate by state (2026)
Wound pouch, each. Medicaid pays a median of $16.56 for A6154 across 41 states, from $8.04 in Kentucky to $32.95 in New Hampshire.
- States publishing
- 41
- National median
- $16.56units vary by state
- Lowest
- $8.04Kentucky
- Highest
- $32.95New Hampshire
What does Medicaid pay for A6154?
41 state Medicaid programs publish a fee-for-service rate for A6154. The national median is $16.56 (units differ between states). New Hampshire pays the most, $32.95, and Kentucky the least, $8.04, a 4.1x spread.
A6154 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 41 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A6154?
It depends on the state. Of the 41 states with a published fee-for-service rate, the median is $16.56. New Hampshire pays the most ($32.95) and Kentucky the least ($8.04).
Which state pays the highest Medicaid rate for A6154?
New Hampshire, at $32.95, effective 2021-01-01.
Do managed-care plans pay the same rate for A6154?
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.