Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9513. 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
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Publishing states
21
Median % of Medicare
--
Rate range
$38.71 - $5,049.06
A9513 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $270.75 | -- | -- | 2026 |
| Arizona | $281.44 | -- | -- | 2026 |
| California | $335.22 | -- | -- | 2026 |
| Colorado | $38.71 | -- | -- | 2026 |
| District of Columbia | $252.49 | -- | Not required | 2022 |
| Iowa | $262.22 | -- | -- | 2025 |
| Idaho | $330.18 | -- | Required | 2026 |
| Illinois | $311.82 | -- | -- | 2026 |
| Indiana | $351.98 | -- | Required | 2026 |
| Kentucky | $320.77 | -- | -- | 2026 |
| Michigan | $183.16 | -- | -- | 2026 |
| Mississippi | $319.94 | -- | -- | 2026 |
| Montana | $382.15 | -- | -- | 2026 |
| Nebraska | $358.01 | -- | -- | 2026 |
| New Hampshire | $5,049.06 | -- | Not required | 2026 |
| New Mexico | $266.85 | -- | -- | 2025 |
| Oklahoma | $237.50 | -- | -- | 2026 |
| Rhode Island | $341.98 | -- | -- | 2026 |
| South Carolina | $329.86 | -- | -- | 2026 |
| Texas | $268.80* | -- | -- | 2026 |
| Wisconsin | $4,750.00 | -- | -- | 2019 |
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
- A2001 - Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- 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 A9513?
21 state Medicaid programs publish a fee-for-service rate for A9513 (lutetium lu 177, dotatate, therapeutic, 1 millicurie), ranging from $38.71 in Colorado to $5,049.06 in New Hampshire. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9513?
New Hampshire publishes the highest Medicaid rate for A9513 at $5,049.06. Colorado publishes the lowest at $38.71.
Does A9513 require prior authorization under Medicaid?
2 of the 21 publishing states flag A9513 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".