Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9517. 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
20
Median % of Medicare
--
Rate range
$12.59 - $166.30
A9517 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $164.80 | -- | -- | 2026 |
| Arkansas | $28.60 | -- | -- | 2026 |
| Arizona | $21.97 | -- | -- | 2026 |
| California | $152.28 | -- | -- | 2026 |
| Connecticut | $40.70 | -- | -- | 2018 |
| Hawaii | $117.25 | -- | -- | 2025 |
| Idaho | $35.16 | -- | Not required | 2025 |
| Kentucky | $24.07 | -- | -- | 2026 |
| Louisiana | $28.60 | -- | -- | 2026 |
| Michigan | $12.59 | -- | -- | 2026 |
| Missouri | $21.66 | -- | Not required | 2026 |
| Mississippi | $24.07 | -- | -- | 2026 |
| Montana | $40.70 | -- | -- | 2026 |
| New Hampshire | $36.89 | -- | Not required | 2026 |
| New Mexico | $22.26 | -- | -- | 2025 |
| Nevada | $19.03 | -- | -- | 2024 |
| Oklahoma | $21.22 | -- | -- | 2026 |
| Washington | $40.70 | -- | -- | 2026 |
| Wisconsin | $166.30 | -- | -- | 2008 |
| Wyoming | $34.81 | -- | -- | 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
- 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 A9517?
20 state Medicaid programs publish a fee-for-service rate for A9517 (iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie), ranging from $12.59 in Michigan to $166.30 in Wisconsin. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9517?
Wisconsin publishes the highest Medicaid rate for A9517 at $166.30. Michigan publishes the lowest at $12.59.
Does A9517 require prior authorization under Medicaid?
No publishing state flags A9517 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.