Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9573. 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
14
Median % of Medicare
--
Rate range
$3.15 - $12.59
A9573 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $3.36 | -- | -- | 2026 |
| Arkansas | $12.59 | -- | -- | 2026 |
| Arizona | $3.15 | -- | -- | 2026 |
| Connecticut | $3.58 | -- | -- | 2025 |
| District of Columbia | $3.30 | -- | Not required | 2026 |
| Idaho | $10.88 | -- | Not required | 2025 |
| Mississippi | $3.22 | -- | -- | 2026 |
| Montana | $3.30 | -- | -- | 2026 |
| Nebraska | $3.15 | -- | -- | 2026 |
| New Hampshire | $11.04 | -- | Not required | 2026 |
| New Mexico | $3.58 | -- | -- | 2025 |
| Oklahoma | $3.22 | -- | -- | 2026 |
| South Carolina | $3.15 | -- | -- | 2026 |
| Wisconsin | $3.25 | -- | -- | 2023 |
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 A9573?
14 state Medicaid programs publish a fee-for-service rate for A9573 (injection, gadopiclenol, 1 ml), ranging from $3.15 in South Carolina to $12.59 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9573?
Arkansas publishes the highest Medicaid rate for A9573 at $12.59. South Carolina publishes the lowest at $3.15.
Does A9573 require prior authorization under Medicaid?
No publishing state flags A9573 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.