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Billing code S8422 · Physician & professional

S8422 Medicaid reimbursement rate by state (2026)

Gradient pressure aid (sleeve), custom made, medium weight. Medicaid pays a median of $149.27 for S8422 across 5 states, from $93.92 in Colorado to $188.30 in Utah.

Data as of Oct 5, 20265 statesEvery rate links to its official source

States publishing
5
National median
$149.27units vary by state
Lowest
$93.92Colorado
Highest
$188.30Utah
Answer

What does Medicaid pay for S8422?

5 state Medicaid programs publish a fee-for-service rate for S8422. The national median is $149.27 (units differ between states). Utah pays the most, $188.30, and Colorado the least, $93.92, a 2.0x spread.

State ranking

S8422 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1Utah Source · since 2010-07-01$188.30——Plans negotiate; applies out of network—
2Texas Source · since 2025-09-01$152.19——Plans negotiate; applies out of network—
3Louisiana Source · since 2021-09-01$149.27——Plans must pay at least this—
See all 5 states for S8422 — start free

2 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.

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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 S8422 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for S8422?

It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $149.27. Utah pays the most ($188.30) and Colorado the least ($93.92).

Which state pays the highest Medicaid rate for S8422?

Utah, at $188.30, effective 2010-07-01.

Do managed-care plans pay the same rate for S8422?

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.