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Billing code A6528 · Equipment & supplies

A6528 Medicaid reimbursement rate by state (2026)

Gradient compression garment, bra, for nighttime use, each. Medicaid pays a median of $599.78 for A6528 across 30 states, from $378.00 in New Hampshire to $795.31 in Arizona.

Data as of Oct 5, 202630 statesEvery rate links to its official source

States publishing
30
National median
$599.78units vary by state
Lowest
$378.00New Hampshire
Highest
$795.31Arizona
Answer

What does Medicaid pay for A6528?

30 state Medicaid programs publish a fee-for-service rate for A6528. The national median is $599.78 (units differ between states). Arizona pays the most, $795.31, and New Hampshire the least, $378.00, a 2.1x spread.

State ranking

A6528 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 30 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Arizona Source · since 2026-10-01$795.31——Plans negotiate; applies out of network—
2Washington Source · since 2026-07-01$666.42——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$666.42——Plans negotiate; applies out of network—
15Virginia Source · since 2026-01-01$599.78Each—Plans must pay at least this—
16South Dakota Source · since 2026-01-01$599.78——Not classified—
17Maryland Source · since 2026-01-01$566.46——Not classified—
29Massachusetts Source · since 2026-07-01$445.79——Plans negotiate; applies out of network—
30New Hampshire Source · since 2024-01-01$378.00——Not classified—
See all 30 states for A6528 — start free

22 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.

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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 A6528 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for A6528?

It depends on the state. Of the 30 states with a published fee-for-service rate, the median is $599.78. Arizona pays the most ($795.31) and New Hampshire the least ($378.00).

Which state pays the highest Medicaid rate for A6528?

Arizona, at $795.31, effective 2026-10-01.

Do managed-care plans pay the same rate for A6528?

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.