A7027 Medicaid reimbursement rate by state (2026)
Combination oral/nasal mask. Medicaid pays a median of $153.09 for A7027 across 42 states, from $66.03 in New Hampshire to $304.38 in North Dakota.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 42
- National median
- $153.09units vary by state
- Lowest
- $66.03New Hampshire
- Highest
- $304.38North Dakota
What does Medicaid pay for A7027?
42 state Medicaid programs publish a fee-for-service rate for A7027 at the clinical nurse specialist level. The national median is $153.09 (units differ between states). North Dakota pays the most, $304.38, and New Hampshire the least, $66.03, a 4.6x spread.
A7027 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 42 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A7027?
It depends on the state. Of the 42 states with a published fee-for-service rate, the median is $153.09. North Dakota pays the most ($304.38) and New Hampshire the least ($66.03).
Which state pays the highest Medicaid rate for A7027?
North Dakota, at $304.38, effective 2026-07-01.
Do managed-care plans pay the same rate for A7027?
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.