A7521 Medicaid reimbursement rate by state (2026)
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride. Medicaid pays a median of $56.20 for A7521 across 46 states, from $37.64 in Alabama to $96.29 in New Mexico.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 46
- National median
- $56.20units vary by state
- Lowest
- $37.64Alabama
- Highest
- $96.29New Mexico
What does Medicaid pay for A7521?
46 state Medicaid programs publish a fee-for-service rate for A7521 at the licensed clinician level. The national median is $56.20 (units differ between states). New Mexico pays the most, $96.29, and Alabama the least, $37.64, a 2.6x spread.
A7521 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 46 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for A7521?
It depends on the state. Of the 46 states with a published fee-for-service rate, the median is $56.20. New Mexico pays the most ($96.29) and Alabama the least ($37.64).
Which state pays the highest Medicaid rate for A7521?
New Mexico, at $96.29, effective 2025-01-01.
Do managed-care plans pay the same rate for A7521?
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.