Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for M0201. 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
23
Median % of Medicare
--
Rate range
$8.00 - $45.65
M0201 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alabama | $8.00 | -- | -- | 2026 |
| Arizona | $39.22 | -- | -- | 2026 |
| California | $35.50 | -- | -- | 2026 |
| District of Columbia | $45.65 | -- | Not required | 2026 |
| Iowa | $36.26 | -- | -- | 2024 |
| Indiana | $37.63 | -- | -- | 2026 |
| Kansas | $35.00 | -- | -- | 2021 |
| Kentucky | $35.50 | -- | -- | 2026 |
| Maryland | $39.90 | -- | -- | 2026 |
| Maine | $38.85 | -- | -- | 2026 |
| Michigan | $39.55 | -- | -- | 2026 |
| Missouri | $29.47 | -- | Not required | 2023 |
| Montana | $39.90 | -- | -- | 2026 |
| North Carolina | $35.50 | -- | -- | 2025 |
| North Dakota | $18.28 | -- | Not required | 2026 |
| New Hampshire | $35.50 | -- | Not required | 2026 |
| Nevada | $38.85 | -- | -- | 2024 |
| Pennsylvania | $35.00 | -- | -- | 2023 |
| Texas | $37.59* | -- | -- | 2026 |
| Utah | $27.50* | -- | Not required | 2024 |
| Virginia | $35.00 | -- | -- | 2021 |
| Washington | $13.57 | -- | -- | 2026 |
| Wisconsin | $39.90 | -- | -- | 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 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 4 codes from M0201 to M0250 or every state-specific services code by number.
Frequently asked questions
How much does Medicaid pay for M0201?
23 state Medicaid programs publish a fee-for-service rate for M0201 (administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home), ranging from $8.00 in Alabama to $45.65 in District of Columbia. The full table on this page lists every publishing state's current rate.
Which state pays the most for M0201?
District of Columbia publishes the highest Medicaid rate for M0201 at $45.65. Alabama publishes the lowest at $8.00.
Does M0201 require prior authorization under Medicaid?
No publishing state flags M0201 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.