Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for A9616. 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
10
Median % of Medicare
--
Rate range
$612.59 - $1,259.70
A9616 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $1,259.70 | -- | -- | 2026 |
| Arizona | $1,112.74 | -- | -- | 2026 |
| Idaho | $932.90 | -- | Not required | 2026 |
| Michigan | $612.59 | -- | -- | 2026 |
| Minnesota | $1,105.00 | -- | -- | 2025 |
| Missouri | $1,054.17 | -- | Not required | 2026 |
| Mississippi | $1,171.30 | -- | -- | 2025 |
| Montana | $1,079.74 | -- | -- | 2026 |
| Nebraska | $1,180.14 | -- | -- | 2026 |
| Rhode Island | $1,209.95 | -- | -- | 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
- 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 A9616?
10 state Medicaid programs publish a fee-for-service rate for A9616 (gallium ga-68 gozetotide (gozellix), diagnostic, 1 millicurie), ranging from $612.59 in Michigan to $1,259.70 in Arkansas. The full table on this page lists every publishing state's current rate.
Which state pays the most for A9616?
Arkansas publishes the highest Medicaid rate for A9616 at $1,259.70. Michigan publishes the lowest at $612.59.
Does A9616 require prior authorization under Medicaid?
No publishing state flags A9616 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.