A9587 Medicaid Rate by State

Gallium ga-68, dotatate, diagnostic, 0.1 millicurie

17 state Medicaid programs publish a fee-for-service rate for A9587 (gallium ga-68, dotatate, diagnostic, 0.1 millicurie), ranging from $12.02 in District of Columbia to $3,021.00 in Arizona.

Every state, kept current

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This page shows one representative rate per state for A9587. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

17

Median % of Medicare

--

Rate range

$12.02 - $3,021.00

A9587 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$71.78----2026
Arizona$3,021.00----2026
District of Columbia$12.02--Not required2022
Idaho$59.75--Not required2026
Kentucky$49.63----2026
Louisiana$64.60----2026
Maine$49.63----2026
Michigan$25.96----2026
Minnesota$60.67----2026
Missouri$44.67*--Not required2026
Mississippi$49.63----2026
Montana$69.16----2026
Nebraska$64.80----2026
New Mexico$59.63----2025
Rhode Island$90.67----2026
South Carolina$59.70----2026
Washington$69.16----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 A9587?

17 state Medicaid programs publish a fee-for-service rate for A9587 (gallium ga-68, dotatate, diagnostic, 0.1 millicurie), ranging from $12.02 in District of Columbia to $3,021.00 in Arizona. The full table on this page lists every publishing state's current rate.

Which state pays the most for A9587?

Arizona publishes the highest Medicaid rate for A9587 at $3,021.00. District of Columbia publishes the lowest at $12.02.

Does A9587 require prior authorization under Medicaid?

No publishing state flags A9587 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.