Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9538. 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
17
Median % of Medicare
--
Rate range
$16.00 - $73.02
A9538 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $16.00 | -- | -- | 2026 |
| Arkansas | $20.80 | -- | -- | 2026 |
| Arizona | $64.05 | -- | -- | 2026 |
| California | $64.05 | -- | -- | 2026 |
| Connecticut | $31.14 | -- | -- | 2018 |
| Georgia | $20.25 | -- | -- | 2026 |
| Iowa | $44.51 | -- | -- | 2024 |
| Idaho | $63.09 | -- | Not required | 2025 |
| Maine | $52.87 | -- | -- | 2026 |
| Minnesota | $17.57 | -- | -- | 2009 |
| Montana | $73.02 | -- | -- | 2026 |
| Nebraska | $68.41 | -- | -- | 2026 |
| New Hampshire | $46.77 | -- | Not required | 2026 |
| New Mexico | $43.26 | -- | -- | 2025 |
| Nevada | $33.46 | -- | -- | 2024 |
| Washington | $73.02 | -- | -- | 2026 |
| Wisconsin | $19.76 | -- | -- | 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 A9538?
17 state Medicaid programs publish a fee-for-service rate for A9538 (technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries), ranging from $16.00 in Alabama to $73.02 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9538?
Montana publishes the highest Medicaid rate for A9538 at $73.02. Alabama publishes the lowest at $16.00.
Does A9538 require prior authorization under Medicaid?
No publishing state flags A9538 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.