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A6245 Medicaid reimbursement rate by state (2026)

Hydrogel dressing, wound cover, sterile. Medicaid pays a median of $8.16 for A6245 across 46 states, from $3.53 in Arkansas to $12.81 in North Dakota.

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

States publishing
46
National median
$8.16units vary by state
Lowest
$3.53Arkansas
Highest
$12.81North Dakota

What does Medicaid pay for A6245?

46 state Medicaid programs publish a fee-for-service rate for A6245 at the clinical nurse specialist level. The national median is $8.16 (units differ between states). North Dakota pays the most, $12.81, and Arkansas the least, $3.53, a 3.6x spread.

A6245 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$12.81——Not classified—
2Arizona Source · since 2026-10-01$11.12——Plans negotiate; applies out of network—
3Hawaii Source · since 2026-06-01$10.95——Plans negotiate; applies out of network—
23District of Columbia Source · since 2026-04-01$8.29——Not classified—
24Nevada Source · since 2017-01-01$8.03——Plans negotiate; applies out of network—
25Colorado Source · since 2022-07-01$7.95——Not classified—
45New York Source · since 2022-06-01$3.60——Plans negotiate; applies out of network—
46Arkansas Source · since 2025-05-16$3.53——Not classified—
See all 46 states for A6245 — start free

38 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 A6245 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 A6245?

It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $8.16. North Dakota pays the most ($12.81) and Arkansas the least ($3.53).

Which state pays the highest Medicaid rate for A6245?

North Dakota, at $12.81, effective 2026-07-01.

Do managed-care plans pay the same rate for A6245?

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.