A9286 Medicaid reimbursement rates by state
Hygienic item or device, disposable or non-disposable. 6 state Medicaid programs publish a fee-for-service rate for A9286. Rates run from $0.03 in Colorado to $47.50 in South Carolina, with a median of $0.51.
Data as of 2026-10-05. Every rate links to the official document it came from.
- States publishing
- 6
- Median rate
- $0.51units vary by state
- Highest
- $47.50South Carolina
- Medicare (non-facility)
- —not on the physician fee schedule
A9286 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.
| State | Medicaid rate | Unit | Per hour | Managed-care plans | % of Medicare | Source |
|---|---|---|---|---|---|---|
| South CarolinaAny qualified provider (rate does not vary by provider) · South Carolina Healthy Connections Medicaid (fee-for-service) | $47.50⚠ over 3× mediansince 2023-05-18 | — | — | Not classified | — | SCDHHS Durable Medical Equipment (DME) F |
| WashingtonAny qualified provider (rate does not vary by provider) · Washington Apple Health (Medicaid) fee-for-service | $19.99⚠ over 3× mediansince 2021-10-01 | — | — | Plans negotiate; applies out of network | — | HCA Medical equipment and supplies fee s |
| MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service) | $0.55since 2020-03-01 | — | — | Plans negotiate; applies out of network | — | MDHHS COVID-19, March 2020 |
| ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members) | $0.47since 2026-10-01 | — | — | Plans negotiate; applies out of network | — | AHCCCS FFS Capped Fee Schedule: Durable |
| MarylandAny qualified provider (rate does not vary by provider) · Maryland Medicaid (fee-for-service, MDH) | $0.26since 2025-01-01 | — | — | Not classified | — | Maryland Medicaid DME/DMS/Oxygen, Prosth |
| ColoradoAny qualified provider (rate does not vary by provider) · Health First Colorado (Colorado Medicaid, fee-for-service) | $0.03since 2021-07-01 | — | — | Not classified | — | Health First Colorado Physician Fee Sche |
Rates marked ⚠ are more than three times the median for the same unit; they are published as shown but often reflect an office (non-facility) fee or a different scope of service. 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 A9286?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $0.51. South Carolina pays the most ($47.50) and Colorado the least ($0.03).
Which state pays the highest Medicaid rate for A9286?
South Carolina, at $47.50, effective 2023-05-18.
Do managed-care plans pay the same rate for A9286?
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.