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A6527 Medicaid reimbursement rates by state

Gradient compression garment, full leg and foot, padded. 17 state Medicaid programs publish a fee-for-service rate for A6527. Rates run from $886.73 in Michigan to $1,520.93 in Arizona, with a median of $1,147.01.

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

States publishing
17
Median rate
$1,147.01units vary by state
Highest
$1,520.93Arizona
Medicare (non-facility)
—not on the physician fee schedule

A6527 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$1,520.93since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$1,274.45since 2026-07-01——Plans negotiate; applies out of network—HCA Medical equipment and supplies fee s
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$1,274.45since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$1,240.94since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New MexicoAny qualified provider (rate does not vary by provider) · New Mexico Medicaid (fee-for-service, HCA Medical Assistance Division)$1,240.94since 2025-01-01——Plans must pay at least this—New Mexico Medicaid Fee for Service HCPC
ArkansasAny qualified provider (rate does not vary by provider) · Arkansas Medicaid (fee-for-service)$1,204.80since 2025-05-16——Not classified—Arkansas Medicaid Home Health Fee Schedu
NevadaAny qualified provider (rate does not vary by provider) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$1,204.80since 2024-01-01——Plans negotiate; applies out of network—Provider Type 33, Durable Medical Equipm
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$1,172.68since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$1,147.01since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$1,132.51since 2026-07-01——Plans negotiate; applies out of network—Rates for Prostheses, Prosthetic Devices
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$1,024.00since 2024-01-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$995.16since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$963.84since 2024-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$963.46since 2026-07-01——Not classified—Health First Colorado Physician Fee Sche
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$939.74since 2024-01-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$892.12since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$886.73since 2024-04-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost

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 with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for A6527?

It depends on the state. Of the 17 states with a published fee-for-service rate, the median is $1,147.01. Arizona pays the most ($1,520.93) and Michigan the least ($886.73).

Which state pays the highest Medicaid rate for A6527?

Arizona, at $1,520.93, effective 2026-10-01.

Do managed-care plans pay the same rate for A6527?

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 table shows the rule for each state, cited to the contract or statute.

Related Equipment & supplies codes

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