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A6234 Medicaid reimbursement rate by state (2026)

Hydrocolloid dressing, wound cover, sterile. Medicaid pays a median of $7.46 for A6234 across 47 states, from $4.21 in Louisiana to $13.41 in New Mexico.

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

States publishing
47
National median
$7.46units vary by state
Lowest
$4.21Louisiana
Highest
$13.41New Mexico

What does Medicaid pay for A6234?

47 state Medicaid programs publish a fee-for-service rate for A6234 at the clinical nurse specialist level. The national median is $7.46 (units differ between states). New Mexico pays the most, $13.41, and Louisiana the least, $4.21, a 3.2x spread.

A6234 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 47 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1New Mexico Source · since 2025-01-01$13.41——Plans must pay at least this—
2North Dakota Source · since 2026-07-01$11.51——Not classified—
3New Hampshire Source · since 2021-01-01$10.20——Not classified—
23Mississippi Source · since 2026-07-01$7.46——Plans must pay at least this—
24West Virginia Source · since 2026-04-01$7.46——Plans must pay at least this—
25District of Columbia Source · since 2026-04-01$7.46——Not classified—
46Wisconsin Source · since 2008-07-01$4.59——Plans negotiate; applies out of network—
47Louisiana Source · since 2021-09-01$4.21——Plans must pay at least this—
See all 47 states for A6234 — start free

39 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 A6234 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 A6234?

It depends on the state. Of the 47 states with a published fee-for-service rate, the median is $7.46. New Mexico pays the most ($13.41) and Louisiana the least ($4.21).

Which state pays the highest Medicaid rate for A6234?

New Mexico, at $13.41, effective 2025-01-01.

Do managed-care plans pay the same rate for A6234?

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.