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A9284 Medicaid reimbursement rates by state

Spirometer, non-electronic, includes all accessories. 5 state Medicaid programs publish a fee-for-service rate for A9284. Rates run from $2.73 in Maryland to $15.00 in Connecticut, with a median of $10.23.

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

States publishing
5
Median rate
$10.23units vary by state
Highest
$15.00Connecticut
Medicare (non-facility)
—not on the physician fee schedule

A9284 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
ConnecticutAny qualified provider (rate does not vary by provider) · Connecticut Medicaid / HUSKY Health (fee-for-service, CMAP)$15.00since 2009-05-01——Not classified—CMAP fee schedule: 10/01/2026 MEDS - Med
TexasAny qualified provider (rate does not vary by provider) · Texas Medicaid (fee-for-service, TMHP)$10.70since 2025-09-01——Plans negotiate; applies out of network—TMHP Texas Medicaid Fee Schedule - Dmepo
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$10.23since 2009-01-01——Plans negotiate; applies out of network—ForwardHealth max fee schedule: Durable
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$10.08since 2014-07-01——Not classified—NJMMIS Procedure Master Listing CPTHCPCS
MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH)$2.73since 2020-01-01——Not classified—Maryland Medicaid DME/DMS/Oxygen, Prosth

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 A9284?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $10.23. Connecticut pays the most ($15.00) and Maryland the least ($2.73).

Which state pays the highest Medicaid rate for A9284?

Connecticut, at $15.00, effective 2009-05-01.

Do managed-care plans pay the same rate for A9284?

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 A9284 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state