A9562 Medicaid Rate by State

Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries

13 state Medicaid programs publish a fee-for-service rate for A9562 (technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries), ranging from $31.27 in Arkansas to $883.24 in Arizona.

Every state, kept current

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This page shows one representative rate per state for A9562. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

13

Median % of Medicare

--

Rate range

$31.27 - $883.24

A9562 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Alabama$160.00----2026
Arkansas$31.27----2026
Arizona$883.24----2026
California$306.98----2026
Idaho$763.12--Not required2025
Louisiana$237.21----2026
Minnesota$575.56----2010
Montana$883.24----2026
New Hampshire$350.78--Not required2026
New Mexico$295.74----2025
Nevada$127.50----2024
Washington$883.24----2026
Wisconsin$470.74----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

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

Frequently asked questions

How much does Medicaid pay for A9562?

13 state Medicaid programs publish a fee-for-service rate for A9562 (technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries), ranging from $31.27 in Arkansas to $883.24 in Arizona. The full table on this page lists every publishing state's current rate.

Which state pays the most for A9562?

Arizona publishes the highest Medicaid rate for A9562 at $883.24. Arkansas publishes the lowest at $31.27.

Does A9562 require prior authorization under Medicaid?

No publishing state flags A9562 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.