Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for C9250. 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
11
Median % of Medicare
--
Rate range
$76.19 - $226.63
C9250 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arkansas | $134.80* | -- | -- | 2026 |
| Iowa | $176.89 | -- | -- | 2024 |
| Idaho | $97.81 | -- | Not required | 2025 |
| Indiana | $226.63 | -- | -- | 2025 |
| Kentucky | $142.48 | -- | -- | 2026 |
| Michigan | $76.19 | -- | -- | 2026 |
| Minnesota | $92.56 | -- | -- | 2026 |
| Montana | $143.70 | -- | -- | 2026 |
| Nebraska | $196.39 | -- | -- | 2026 |
| New Mexico | $136.58 | -- | -- | 2026 |
| Rhode Island | $187.72 | -- | -- | 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 state-specific services codes
- C1716 - Brachytherapy source, non-stranded, gold-198, per source
- C1717 - Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 - Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C2616 - Brachytherapy source, non-stranded, yttrium-90, per source
- C2634 - Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
- C2635 - Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
- C2636 - Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
- C2638 - Brachytherapy source, stranded, iodine-125, per source
All 38 codes from C9047 to C9901 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for C9250?
11 state Medicaid programs publish a fee-for-service rate for C9250 (human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml), ranging from $76.19 in Michigan to $226.63 in Indiana. The full table on this page lists every publishing state's current rate.
Which state pays the most for C9250?
Indiana publishes the highest Medicaid rate for C9250 at $226.63. Michigan publishes the lowest at $76.19.
Does C9250 require prior authorization under Medicaid?
No publishing state flags C9250 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.