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A7505 Medicaid reimbursement rate by state (2026)

Housing, reusable without adhesive. Medicaid pays a median of $5.46 for A7505 across 37 states, from $0.36 in Kentucky to $8.21 in North Dakota.

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

States publishing
37
National median
$5.46units vary by state
Lowest
$0.36Kentucky
Highest
$8.21North Dakota

What does Medicaid pay for A7505?

37 state Medicaid programs publish a fee-for-service rate for A7505 at the clinical nurse specialist level. The national median is $5.46 (units differ between states). North Dakota pays the most, $8.21, and Kentucky the least, $0.36, a 22.8x spread.

A7505 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 37 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$8.21——Not classified—
2Arizona Source · since 2026-10-01$7.17——Plans negotiate; applies out of network—
3Minnesota Source · since 2026-01-01$6.68——Plans negotiate; applies out of network—
18Vermont Source · since 2025-01-01$5.60——Not classified—
19North Carolina Source · since 2025-10-01$5.46——Plans negotiate; applies out of network—
20Massachusetts Source · since 2026-03-01$5.44——Plans negotiate; applies out of network—
36Kansas Source · since 2026-07-01$1.67——Not classified—
37Kentucky Source · since 2022-01-01$0.36——Plans negotiate; applies out of network—
See all 37 states for A7505 — start free

29 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.

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 A7505 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.

Frequently asked questions

What does Medicaid pay for A7505?

It depends on the state. Of the 37 states with a published fee-for-service rate, the median is $5.46. North Dakota pays the most ($8.21) and Kentucky the least ($0.36).

Which state pays the highest Medicaid rate for A7505?

North Dakota, at $8.21, effective 2026-07-01.

Do managed-care plans pay the same rate for A7505?

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.