Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9596. 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
21
Median % of Medicare
--
Rate range
$188.00 - $1,594.66
A9596 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $765.42 | -- | -- | 2026 |
| Arizona | $985.54 | -- | -- | 2026 |
| California | $968.20 | -- | -- | 2026 |
| District of Columbia | $940.00 | -- | Not required | 2022 |
| Iowa | $972.38 | -- | -- | 2024 |
| Idaho | $1,068.48 | -- | Not required | 2026 |
| Indiana | $1,594.66 | -- | -- | 2026 |
| Kentucky | $478.52 | -- | -- | 2026 |
| Maine | $478.52 | -- | -- | 2026 |
| Michigan | $250.27 | -- | -- | 2026 |
| Minnesota | $1,033.20 | -- | -- | 2025 |
| Missouri | $430.67* | -- | Not required | 2026 |
| Mississippi | $478.52 | -- | -- | 2026 |
| Montana | $1,236.67 | -- | -- | 2026 |
| Nebraska | $1,158.57 | -- | -- | 2026 |
| New Hampshire | $188.00 | -- | Not required | 2026 |
| Oklahoma | $1,518.72 | -- | -- | 2026 |
| South Carolina | $1,067.44 | -- | -- | 2026 |
| Washington | $1,236.67 | -- | -- | 2026 |
| Wisconsin | $850.00 | -- | -- | 2022 |
| Wyoming | $528.66* | -- | -- | 2025 |
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
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- 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 A9596?
21 state Medicaid programs publish a fee-for-service rate for A9596 (gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie), ranging from $188.00 in New Hampshire to $1,594.66 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9596?
Indiana publishes the highest Medicaid rate for A9596 at $1,594.66. New Hampshire publishes the lowest at $188.00.
Does A9596 require prior authorization under Medicaid?
No publishing state flags A9596 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.