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A7017 Medicaid reimbursement rates by state

Nebulizer, durable, glass or autoclavable plastic. 21 state Medicaid programs publish a fee-for-service rate for A7017 at the clinical nurse specialist level. Rates run from $8.62 in Louisiana to $155.91 in Alabama, with a median of $106.48.

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

States publishing
21
Median rate
$106.48units vary by state
Highest
$155.91Alabama
Medicare (non-facility)
—not on the physician fee schedule

A7017 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
AlabamaAny qualified provider (rate does not vary by provider) · Alabama Medicaid (fee-for-service, Alabama Medicaid Agency fee schedules)$155.91since 2026-05-20——Not classified—EPSDT Referral (DME) Fee Schedule (REF-0
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$147.37since 2026-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2026Medica
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$136.52since 2024-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$133.10since 2026-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule
OklahomaAny qualified provider (rate does not vary by provider) · Oklahoma SoonerCare (fee-for-service, OHCA)$130.82since 2026-01-01——Plans must pay at least this—SoonerCare Durable Medical Equipment Rat
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$126.54since 2011-01-01——Plans negotiate; applies out of network—DMAS procedure fee file hcpcmedical.csv
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$120.57since 2026-01-01——Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$115.30since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$110.66since 2018-04-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$109.75since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$106.48since 2026-07-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
PennsylvaniaAny qualified provider (rate does not vary by provider) · Pennsylvania Medical Assistance (fee-for-service)$102.28since 2012-09-27——Plans negotiate; applies out of network—PA DHS PROMISe Outpatient Fee Schedule (
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$100.46since 2017-04-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
NebraskaAny qualified provider (rate does not vary by provider) · Nebraska Medicaid (fee-for-service)$95.51since 2026-07-01——Plans negotiate; applies out of network—Nebraska Medicaid fee schedule 471-000-5
ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service)$90.35since 2022-07-01——Not classified—Health First Colorado Physician Fee Sche
MassachusettsAny qualified provider (rate does not vary by provider) · MassHealth (fee-for-service, EOHHS 101 CMR rate regulations)$85.40since 2026-03-01——Plans negotiate; applies out of network—Rates for Durable Medical Equipment, Oxy
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$15.48since 2026-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
OregonAny qualified provider (rate does not vary by provider) · Oregon Health Plan (fee-for-service, OHA)$13.15since 2024-10-01——Plans negotiate; applies out of network—OHP FFS medical-dental fee schedule (fee
IowaAny qualified provider (rate does not vary by provider) · Iowa Medicaid (fee-for-service schedules; the floor IA Health Link plans must pay)$12.80since 2024-07-01——State sets the plan rate—Iowa Medicaid fee schedule #08 PHARMACY
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$11.94since 2026-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth
LouisianaAny qualified provider (rate does not vary by provider) · Louisiana Medicaid (fee-for-service)$8.62since 2012-07-01——Plans must pay at least this—Louisiana Medicaid Durable Medical Equip

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 A7017?

It depends on the state. Of the 21 states with a published fee-for-service rate, the median is $106.48. Alabama pays the most ($155.91) and Louisiana the least ($8.62).

Which state pays the highest Medicaid rate for A7017?

Alabama, at $155.91, effective 2026-05-20.

Do managed-care plans pay the same rate for A7017?

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.

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