A9510 Medicaid Rate by State

Technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries

15 state Medicaid programs publish a fee-for-service rate for A9510 (technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries), ranging from $30.45 in Connecticut to $79.80 in Arizona.

Every state, kept current

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This page shows one representative rate per state for A9510. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

15

Median % of Medicare

--

Rate range

$30.45 - $79.80

A9510 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$57.00----2026
Arkansas$48.00----2026
Arizona$79.80----2026
California$34.83----2026
Connecticut$30.45----2018
Hawaii$79.17----2025
Iowa$61.12----2024
Idaho$68.95--Not required2025
Montana$79.80----2026
New Mexico$42.30----2025
Nevada$56.21----2024
Texas$39.90*----2020
Washington$79.80----2026
Wisconsin$34.82----2008
Wyoming$68.25----2021

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

All 76 codes from A9274 to A9800 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A9510?

15 state Medicaid programs publish a fee-for-service rate for A9510 (technetium tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries), ranging from $30.45 in Connecticut to $79.80 in Arizona. The full table on this page lists every publishing state's current rate.

Which state pays the most for A9510?

Arizona publishes the highest Medicaid rate for A9510 at $79.80. Connecticut publishes the lowest at $30.45.

Does A9510 require prior authorization under Medicaid?

No publishing state flags A9510 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.