Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9500. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
$29/mo after the trial. Cancel anytime.
Publishing states
28
Median % of Medicare
--
Rate range
$46.74 - $177.73
A9500 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $78.00 | -- | -- | 2026 |
| Alabama | $121.69 | -- | -- | 2026 |
| Arkansas | $70.66 | -- | -- | 2026 |
| Arizona | $118.13 | -- | -- | 2026 |
| California | $97.36 | -- | -- | 2026 |
| Colorado | $46.74 | -- | -- | 2026 |
| Connecticut | $92.87 | -- | -- | 2018 |
| District of Columbia | $100.00 | -- | Not required | 2015 |
| Florida | $177.73 | -- | -- | 2026 |
| Georgia | $95.00 | -- | -- | 2026 |
| Hawaii | $83.20 | -- | -- | 2025 |
| Iowa | $118.04 | -- | -- | 2024 |
| Idaho | $105.04 | -- | Not required | 2025 |
| Kentucky | $103.45 | -- | -- | 2026 |
| Louisiana | $96.38 | -- | -- | 2026 |
| Maine | $100.43 | -- | -- | 2026 |
| Michigan | $121.70 | -- | -- | 2026 |
| Minnesota | $121.70 | -- | -- | 2010 |
| New Hampshire | $129.36 | -- | Not required | 2026 |
| New Jersey | $112.09 | -- | Not required | 2026 |
| New Mexico | $118.53 | -- | -- | 2025 |
| Nevada | $85.62 | -- | -- | 2024 |
| Oklahoma | $113.95 | -- | -- | 2026 |
| South Carolina | $101.90 | -- | -- | 2017 |
| Texas | $105.11* | -- | -- | 2026 |
| Utah | $91.82* | -- | Not required | 2024 |
| Virginia | $87.86 | -- | -- | 2001 |
| Wisconsin | $115.90 | -- | -- | 2004 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related dme & supplies codes
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- A2005 - Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 - Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 - Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 - Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2009 - Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 - Apis, per square centimeter (add-on, list separately in addition to primary procedure)
All 76 codes from A9274 to A9800 or every dme & supplies code by number.
Frequently asked questions
How much does Medicaid pay for A9500?
28 state Medicaid programs publish a fee-for-service rate for A9500 (technetium tc-99m sestamibi, diagnostic, per study dose), ranging from $46.74 in Colorado to $177.73 in Florida. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9500?
Florida publishes the highest Medicaid rate for A9500 at $177.73. Colorado publishes the lowest at $46.74.
Does A9500 require prior authorization under Medicaid?
No publishing state flags A9500 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.