A6231 Medicaid reimbursement rate by state (2026)
Gauze, impregnated, hydrogel, for direct wound contact. Medicaid pays a median of $5.40 for A6231 across 42 states, from $1.33 in New York to $8.51 in New Hampshire.
- States publishing
- 42
- National median
- $5.40units vary by state
- Lowest
- $1.33New York
- Highest
- $8.51New Hampshire
What does Medicaid pay for A6231?
42 state Medicaid programs publish a fee-for-service rate for A6231. The national median is $5.40 (units differ between states). New Hampshire pays the most, $8.51, and New York the least, $1.33, a 6.4x spread.
A6231 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A6231?
It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $5.40. New Hampshire pays the most ($8.51) and New York the least ($1.33).
Which state pays the highest Medicaid rate for A6231?
New Hampshire, at $8.51, effective 2021-01-01.
Do managed-care plans pay the same rate for A6231?
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.