Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9502. 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
27
Median % of Medicare
--
Rate range
$57.46 - $170.21
A9502 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $119.70 | -- | -- | 2026 |
| Arkansas | $160.00 | -- | -- | 2026 |
| Arizona | $85.27 | -- | -- | 2026 |
| California | $96.84 | -- | -- | 2026 |
| Connecticut | $87.98 | -- | -- | 2018 |
| District of Columbia | $57.46 | -- | Not required | 2003 |
| Florida | $170.21 | -- | -- | 2026 |
| Georgia | $112.14 | -- | -- | 2026 |
| Hawaii | $83.20 | -- | -- | 2025 |
| Iowa | $128.03 | -- | -- | 2024 |
| Idaho | $83.99 | -- | Not required | 2025 |
| Louisiana | $94.80 | -- | -- | 2026 |
| Maine | $88.93 | -- | -- | 2026 |
| Michigan | $111.11 | -- | -- | 2026 |
| Minnesota | $85.27 | -- | -- | 2024 |
| Montana | $97.21 | -- | -- | 2026 |
| Nebraska | $91.07 | -- | -- | 2026 |
| New Hampshire | $121.17 | -- | Not required | 2026 |
| New Jersey | $111.49 | -- | Not required | 2026 |
| New Mexico | $113.05 | -- | -- | 2025 |
| Nevada | $76.16 | -- | -- | 2024 |
| Oklahoma | $112.08 | -- | -- | 2026 |
| South Carolina | $95.90 | -- | -- | 2024 |
| Texas | $82.84* | -- | -- | 2018 |
| Virginia | $106.04 | -- | -- | 2001 |
| Washington | $97.21 | -- | -- | 2026 |
| Wisconsin | $136.80 | -- | -- | 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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- A2002 - Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 A9502?
27 state Medicaid programs publish a fee-for-service rate for A9502 (technetium tc-99m tetrofosmin, diagnostic, per study dose), ranging from $57.46 in District of Columbia to $170.21 in Florida. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9502?
Florida publishes the highest Medicaid rate for A9502 at $170.21. District of Columbia publishes the lowest at $57.46.
Does A9502 require prior authorization under Medicaid?
No publishing state flags A9502 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.