Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9543. 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
16
Median % of Medicare
--
Rate range
$16,829.68 - $77,299.65
A9543 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $53,983.32* | -- | -- | 2026 |
| Arizona | $53,983.32 | -- | -- | 2026 |
| California | $67,806.71 | -- | -- | 2026 |
| Idaho | $66,786.90 | -- | Not required | 2026 |
| Illinois | $42,430.83 | -- | -- | 2026 |
| Indiana | $16,829.68 | -- | -- | 2026 |
| Kentucky | $56,824.55 | -- | -- | 2026 |
| Michigan | $29,719.24 | -- | -- | 2026 |
| Minnesota | $67,806.71 | -- | -- | 2026 |
| Mississippi | $56,824.55 | -- | -- | 2025 |
| Montana | $77,299.65 | -- | -- | 2026 |
| New Mexico | $21,588.91 | -- | -- | 2025 |
| Oklahoma | $73,939.13 | -- | -- | 2026 |
| Washington | $77,299.65 | -- | -- | 2026 |
| Wisconsin | $19,181.53 | -- | -- | 2008 |
| Wyoming | $42,376.39 | -- | Required | 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 A9543?
16 state Medicaid programs publish a fee-for-service rate for A9543 (yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries), ranging from $16,829.68 in Indiana to $77,299.65 in Montana. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9543?
Montana publishes the highest Medicaid rate for A9543 at $77,299.65. Indiana publishes the lowest at $16,829.68.
Does A9543 require prior authorization under Medicaid?
1 of the 16 publishing states flag A9543 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".