HCPCS A4358 pays $9.02 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $7.92 in Puerto Rico to $10.04 in Hawaii, a 27% spread.
Average state fee
$9.02
Non-rural
Hawaii
Puerto Rico · 27% spread
53 Medicare jurisdictions, highest to lowest. State fees from the 2026 Q4 DMEPOS fee schedule, non-rural.
| State | Rate compared visually | State fee |
|---|---|---|
| Hawaii | $10.04 | |
| Arkansas | $9.46 | |
| Colorado | $9.46 | |
| Connecticut | $9.46 | |
| Delaware | $9.46 | |
| District of Columbia | $9.46 | |
| Florida | $9.46 | |
| Illinois | $9.46 | |
| Kansas | $9.46 | |
| Louisiana | $9.46 | |
| Maryland | $9.46 | |
| Massachusetts | $9.46 | |
| Nebraska | $9.46 | |
| Nevada | $9.46 | |
| New Jersey | $9.46 | |
| New Mexico | $9.46 | |
| North Carolina | $9.46 | |
| North Dakota | $9.46 | |
| Ohio | $9.46 | |
| Oklahoma | $9.46 | |
| Pennsylvania | $9.46 | |
| Rhode Island | $9.46 | |
| Vermont | $9.46 | |
| Virginia | $9.46 | |
| West Virginia | $9.46 | |
| Wisconsin | $9.46 | |
| Wyoming | $9.46 | |
| Alaska | $9.39 | |
| Utah | $9.33 | |
| California | $9.32 | |
| Minnesota | $9.32 | |
| Georgia | $9.25 | |
| Washington | $9.20 | |
| Montana | $9.06 | |
| New York | $8.94 | |
| Virgin Islands | $8.94 | |
| Alabama | $8.86 | |
| Maine | $8.43 | |
| Mississippi | $8.43 | |
| Arizona | $8.39 | |
| Michigan | $8.35 | |
| Oregon | $8.32 | |
| Missouri | $8.13 | |
| Idaho | $8.04 | |
| Indiana | $8.04 | |
| Iowa | $8.04 | |
| Kentucky | $8.04 | |
| New Hampshire | $8.04 | |
| South Carolina | $8.04 | |
| South Dakota | $8.04 | |
| Tennessee | $8.04 | |
| Texas | $8.04 | |
| Puerto Rico | $7.92 |
Here is how the Medicare DMEPOS Fee Schedule arrives at the HCPCS A4358 amount above, and what it does and doesn't cover.
Durable medical equipment, prosthetics, orthotics and supplies are paid from the DMEPOS Fee Schedule, which sets a fee per state, with separate rural and non-rural amounts.
Non-rural fees. Purchase (NU, UE) and rental (RR) of the same item carry different fees.
Commercial payers set their own negotiated rates, and routinely pay above or below the Medicare amount for the same code. See how UHC, Aetna, Cigna and BCBS actually price A4358.
This page reflects the 2026 Q4 CMS DMEPOS Fee Schedule, effective 2026-10-01. Want the full story behind why this data is public at all — the rules, the deadlines, the penalties? Read the price transparency law guide.
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.