Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9516. 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
15
Median % of Medicare
--
Rate range
$20.45 - $113.46
A9516 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $65.02 | -- | -- | 2026 |
| Arkansas | $20.45 | -- | -- | 2026 |
| Arizona | $106.24 | -- | -- | 2026 |
| California | $89.33 | -- | -- | 2026 |
| Colorado | $24.41 | -- | -- | 2026 |
| Connecticut | $78.96 | -- | -- | 2018 |
| Hawaii | $36.40 | -- | -- | 2025 |
| Iowa | $90.04 | -- | -- | 2024 |
| Minnesota | $95.84 | -- | -- | 2024 |
| Nebraska | $113.46 | -- | -- | 2026 |
| New Hampshire | $58.47 | -- | Not required | 2026 |
| New Mexico | $30.02 | -- | -- | 2025 |
| Nevada | $33.53 | -- | -- | 2024 |
| South Carolina | $104.53 | -- | -- | 2025 |
| Wisconsin | $70.86 | -- | -- | 2008 |
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 A9516?
15 state Medicaid programs publish a fee-for-service rate for A9516 (iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries), ranging from $20.45 in Arkansas to $113.46 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9516?
Nebraska publishes the highest Medicaid rate for A9516 at $113.46. Arkansas publishes the lowest at $20.45.
Does A9516 require prior authorization under Medicaid?
No publishing state flags A9516 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.