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A6230 Medicaid reimbursement rate by state (2026)

Gauze, impregnated, water or normal saline, sterile. Medicaid pays a median of $2.02 for A6230 across 19 states, from $0.37 in Maine to $14.95 in Indiana.

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

States publishing
19
National median
$2.02units vary by state
Lowest
$0.37Maine
Highest
$14.95Indiana

What does Medicaid pay for A6230?

19 state Medicaid programs publish a fee-for-service rate for A6230 at the clinical nurse specialist level. The national median is $2.02 (units differ between states). Indiana pays the most, $14.95 per unit, and Maine the least, $0.37, a 40.4x spread.

A6230 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 19 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Indiana Source · since 2026-01-01$14.95unit—Plans must pay at least this—
2Washington Source · since 2021-01-01$14.62——Plans negotiate; applies out of network—
3District of Columbia Source · since 1997-04-01$5.44——Not classified—
9Arkansas Source · since 2025-05-16$2.31——Not classified—
10Colorado Source · since 2022-07-01$2.02——Not classified—
11Louisiana Source · since 2021-09-01$1.95——Plans must pay at least this—
18Oklahoma Source · since 2020-08-01$0.37——Plans must pay at least this—
19Maine Source · since 2023-01-01$0.37——Not classified—
See all 19 states for A6230 — start free

11 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.

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 A6230 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A6230?

It depends on the state. Of the 19 states with a published fee-for-service rate, the median is $2.02. Indiana pays the most ($14.95 per unit) and Maine the least ($0.37).

Which state pays the highest Medicaid rate for A6230?

Indiana, at $14.95 per unit, effective 2026-01-01.

Do managed-care plans pay the same rate for A6230?

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.