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A7014 Medicaid reimbursement rates by state

Filter, nondisposable. 21 state Medicaid programs publish a fee-for-service rate for A7014 at the clinical nurse specialist level. Rates run from $0.808 in New York to $5.49 in Nebraska, with a median of $3.54.

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

States publishing
21
Median rate
$3.54units vary by state
Highest
$5.49Nebraska
Medicare (non-facility)
—not on the physician fee schedule

A7014 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
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$5.49since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service$4.81since 2021-07-01——Plans negotiate; applies out of network—HCA Respiratory care fee schedule (respi
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$4.45since 2026-01-01Each—Plans must pay at least this—DMAS procedure fee file hcpcmedical.csv
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$4.34since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
IllinoisAny qualified provider (rate does not vary by provider) · Illinois Medicaid (HFS fee-for-service)$4.27since 2024-01-01——Plans negotiate; applies out of network—HFS DME Fee Schedule (effective 2024-01-
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$4.12since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$4.10since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
North CarolinaAny qualified provider (rate does not vary by provider) · North Carolina Medicaid Direct (fee-for-service)$3.95——Plans negotiate; applies out of network—NC Medicaid fee schedule 'Durable Medica
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$3.61since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$3.55since 2012-09-25——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$3.54since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
ColoradoAny qualified provider (rate does not vary by provider) · Child Health Plan Plus (CHP+, Colorado's CHIP)$3.51since 2026-07-01——Plans negotiate; applies out of network—Child Health Plan Plus FY 2026-2027 Fee
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$3.43since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$3.31since 2017-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$3.29since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$3.29since 2008-07-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$3.27since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$3.20since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$2.89since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$2.83since 2026-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
New YorkAny qualified provider (rate does not vary by provider) · New York Medicaid (fee-for-service)$0.808since 2022-06-01——Plans negotiate; applies out of network—eMedNY NYS Medicaid DMEPOS Fee Schedule

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 A7014?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $3.54. Nebraska pays the most ($5.49) and New York the least ($0.808).

Which state pays the highest Medicaid rate for A7014?

Nebraska, at $5.49, effective 2026-07-01.

Do managed-care plans pay the same rate for A7014?

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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