A9554 Medicaid Rate by State

Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries

15 state Medicaid programs publish a fee-for-service rate for A9554 (iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries), ranging from $33.25 in Oklahoma to $678.82 in New Mexico.

Every state, kept current

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This page shows one representative rate per state for A9554. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

15

Median % of Medicare

--

Rate range

$33.25 - $678.82

A9554 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$414.00----2026
Arizona$37.50----2026
California$467.05----2026
Iowa$118.04----2024
Idaho$36.94--Not required2025
Kentucky$649.64----2026
Michigan$339.76----2026
Minnesota$37.50----2024
Missouri$584.68--Not required2026
Montana$42.75----2026
Nebraska$40.05----2026
New Mexico$678.82----2025
Nevada$53.13----2024
Oklahoma$33.25----2026
Washington$42.75----2026

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

All 76 codes from A9274 to A9800 or every dme & supplies code by number.

Frequently asked questions

How much does Medicaid pay for A9554?

15 state Medicaid programs publish a fee-for-service rate for A9554 (iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries), ranging from $33.25 in Oklahoma to $678.82 in New Mexico. The full table on this page lists every publishing state's current rate.

Which state pays the most for A9554?

New Mexico publishes the highest Medicaid rate for A9554 at $678.82. Oklahoma publishes the lowest at $33.25.

Does A9554 require prior authorization under Medicaid?

No publishing state flags A9554 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.