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A9278 Medicaid reimbursement rates by state

Receiver (monitor); external. 10 state Medicaid programs publish a fee-for-service rate for A9278. Rates run from $413.71 in Arizona to $600.02 in Florida, with a median of $550.00.

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

States publishing
10
Median rate
$550.00units vary by state
Highest
$600.02Florida
Medicare (non-facility)
—not on the physician fee schedule

A9278 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
FloridaAny qualified provider (rate does not vary by provider) · Florida Medicaid (fee-for-service)$600.02since 2026-07-01——Plans negotiate; applies out of network—Durable Medical Equipment and Medical Su
South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service)$573.07since 2019-07-01——Not classified—SCDHHS Durable Medical Equipment (DME) F
KentuckyAny qualified provider (rate does not vary by provider) · Kentucky Medicaid (fee-for-service, DMS fee schedules)$559.20since 2020-01-01——State sets the plan rate—KY Medicaid DME fee schedule (2020Medica
KansasAny qualified provider (rate does not vary by provider) · MediKan (Kansas state-funded medical program, KMAP fee schedule)$559.20since 2024-01-01——Paid by the state, outside plans—KMAP Fee Schedule MKN Medicaid (FeeSched
GeorgiaAny qualified provider (rate does not vary by provider) · Georgia Medicaid (fee-for-service)$550.00since 2016-07-01——Plans negotiate; applies out of network—DME Fee Schedule - Excel.xlsx
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$550.00since 2017-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Supplies
OhioAny qualified provider (rate does not vary by provider) · Ohio Medicaid (fee-for-service)$522.30since 2018-07-16Each—Plans negotiate; applies out of network—ODM DMEPOS combined payment schedules (a
MississippiAny qualified provider (rate does not vary by provider) · Mississippi Medicaid (fee-for-service)$510.00since 2015-01-01——Plans must pay at least this—DOM Comprehensive Fee Schedule, June 202
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$422.47since 2023-01-01——Plans negotiate; applies out of network—MDHHS Medical Suppliers/Orthotists/Prost
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$413.71since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Durable

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 A9278?

It depends on the state. Of the 10 states with a published fee-for-service rate, the median is $550.00. Florida pays the most ($600.02) and Arizona the least ($413.71).

Which state pays the highest Medicaid rate for A9278?

Florida, at $600.02, effective 2026-07-01.

Do managed-care plans pay the same rate for A9278?

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

Track A9278 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
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