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A6580 Medicaid reimbursement rates by state

Gradient compression glove, custom, heavy weight, each. 15 state Medicaid programs publish a fee-for-service rate for A6580. Rates run from $216.35 in Michigan to $371.10 in Arizona, with a median of $249.87.

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

States publishing
15
Median rate
$249.87units vary by state
Highest
$371.10Arizona
Medicare (non-facility)
—not on the physician fee schedule

A6580 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)$371.10since 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$310.96since 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)$310.96since 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)$302.78since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$286.13since 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)$279.86since 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)$276.32since 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)$249.87since 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)$242.81since 2025-01-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$235.17since 2024-04-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$235.17since 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)$235.07since 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)$229.29since 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)$217.67since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$216.35since 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 A6580?

It depends on the state. Of the 15 states with a published fee-for-service rate, the median is $249.87. Arizona pays the most ($371.10) and Michigan the least ($216.35).

Which state pays the highest Medicaid rate for A6580?

Arizona, at $371.10, effective 2026-10-01.

Do managed-care plans pay the same rate for A6580?

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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